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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LESLIE ELIZABETH BLALOCK

Active Sole Proprietor

LESLIE ELIZABETH BLALOCK is a 2279P1006X healthcare provider located in SAN DIEGO, California. NPI 1972081222 is currently active in the NPPES registry. Verify at CMS.

2279P1006X · SAN DIEGO, CA

Registration Details

NPI Number
1972081222
Provider Type
Individual
Gender
Female
NPI Issued
Jul 30, 2018 (8.0111803941305 yrs)
Last Updated
Jul 30, 2018
License
38788 (CA)
Sole Proprietor
Yes

Practice Information

Address
4647 ZION AVE
SAN DIEGO, CA, 921202507
Browse CA providers · Browse ZIP 92120
Phone
6195285000
Primary Specialty
2279P1006X
2279P1006X

Other 2279P1006X Providers in SAN DIEGO, CA

Name Credential NPI
LARRY SCHELLENBERG RCP 1376864454
CATHERINE GLASS RRT, RPFT 1760915615
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.