BLAIR WISHOM

STOCKTON, CA
NPI1316302532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101Y00000X Counselor
Enumeration Date2015-12-16
Last Update Date2023-12-13
Business Address
BLAIR WISHOM
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number: 209-320-7675
Mailing Address
BLAIR WISHOM
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number: 209-320-7675