WANDA J. BLAYLARK

WOODLAND, CA
NPI1235198789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2083X0100X Preventive Medicine, Occupational Medicine
(Licence: CA  A48420)
Enumeration Date2006-03-22
Last Update Date2020-08-07
Business Address
WANDA J. BLAYLARK MD
632 W GIBSON RD
WOODLAND, CA 95695-5169
Phone number: 530-668-2600
Mailing Address
WANDA J. BLAYLARK MD
3400 DATA DR ATTN CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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