BRENDAN BLACKFORD

LEMOORE, CA
NPI1164163754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: MS  32475)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-06
Last Update Date2024-11-22
Business Address
Dr. BRENDAN BLACKFORD DO
937 FRANKLIN BLVD
LEMOORE, CA 93246-4700
Phone number: 631-707-3673
Mailing Address
Dr. BRENDAN BLACKFORD DO
BUILDING 11, K STREET
LEMOORE, CA 93246-0001
Phone number: