KENNETH ADRIAN BLANCO REDON

BAKERSFIELD, CA
NPI1528531274
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  219805)
Enumeration Date2019-01-05
Last Update Date2020-07-09
Business Address
Mr. KENNETH ADRIAN BLANCO REDON FNP
5400 ALDRIN CT
BAKERSFIELD, CA 93313-2103
Phone number: 661-489-5999
Mailing Address
Mr. KENNETH ADRIAN BLANCO REDON FNP
2415 RINCONADA DR APT 14
SAN JOSE, CA 95125-2827
Phone number: 415-964-7441