ADAM SKYE BLANK

SAN LUIS OBISPO, CA
NPI1710564919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: CA  20A22291)
Enumeration Date2021-03-25
Last Update Date2024-08-29
Business Address
ADAM SKYE BLANK DO
35 CASA ST STE 170
SAN LUIS OBISPO, CA 93405-1887
Phone number: 800-763-7732
Mailing Address
ADAM SKYE BLANK DO
35 CASA ST STE 170
SAN LUIS OBISPO, CA 93405-1887
Phone number: 800-763-7732