THOMASINA BLACKWATER

LOS ANGELES, CA
NPI1356915037
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A203016)
Enumeration Date2021-05-17
Last Update Date2025-07-21
Business Address
Dr. THOMASINA BLACKWATER MD
1300 N MISSION RD FL 2
LOS ANGELES, CA 90033-1021
Phone number: 323-409-8255
Mailing Address
Dr. THOMASINA BLACKWATER MD
550 S PALOS VERDES ST APT 632
SAN PEDRO, CA 90731-5126
Phone number: 520-235-4831