NANCY ANN BLACKETER

PATTON, CA
NPI1518152925
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  RN11513)
Enumeration Date2007-09-10
Last Update Date2007-09-10
Business Address
-- NANCY ANN BLACKETER FNP
3102 EAST HIGHLAND AVE
PATTON, CA 92369
Phone number: 909-425-7000
Mailing Address
-- NANCY ANN BLACKETER FNP
1600 9TH STREET ROOM 205 MAILSTOP 2-3
SACRAMENTO, CA 95814-6414
Phone number: 916-654-2431