Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DEIDRA WANICE BLANTON
Active Sole ProprietorMRS. DEIDRA WANICE BLANTON is a Case Management Agency healthcare provider located in LOS ANGELES, California. NPI 1275716763 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · LOS ANGELES, CA
Registration Details
- NPI Number
- 1275716763
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 7, 2007 (18.68928238427 yrs)
- Last Updated
- Dec 7, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
3606 W EXPOSITION BLVDCRENSHAW AREA OFFICELOS ANGELES, CA, 90016Browse CA providers · Browse ZIP 90016
- Phone
- 3232983534
- Fax
- 3232963049
- Primary Specialty
-
Case Management Agency
251B00000X
Other Case Management Agency Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| MS. SHEILA VAHNINGLE WELSH | LCSW | 1386755684 |
| MR. JULIO C. ZIMBRON | — | 1376629840 |
| CINDY PENA | CASE MANAGER | 1013033562 |
| VERONICA YULET LOPEZ | — | 1760662506 |
| GABRIEL LOPEZ | — | 1003096439 |
| MR. DAVID WAYNE DIETZEL | — | 1437332921 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.