JAMES L BLAYLOCK

FRESNO, CA
NPI1770102238
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  35805)
Additional Taxonomies167G00000X Licensed Psychiatric Technician
Enumeration Date2020-04-14
Last Update Date2020-12-08
Business Address
MR. JAMES L BLAYLOCK LPT-LMHW
3133 N MILLBROOK AVE
FRESNO, CA 93703-1425
Phone number: 559-600-9180
Mailing Address
MR. JAMES L BLAYLOCK LPT-LMHW
1200 MISSION ST
MADERA, CA 93638-2231
Phone number: 559-623-3582