CASSANDRA BLAYLOCK

SANTA MONICA, CA
NPI1588043400
Former NameCASSANDRA YAMAGUCHI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95003118)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  800684)
Enumeration Date2015-05-26
Last Update Date2017-12-29
Business Address
Mrs. CASSANDRA BLAYLOCK NP
1250 16TH STREET
SANTA MONICA, CA 90404
Phone number: 424-259-9451
Mailing Address
Mrs. CASSANDRA BLAYLOCK NP
1250 16TH STREET
SANTA MONICA, CA 90404
Phone number: 424-259-9451