MYRA BLAZO FAMILARA

LA CRESCENTA, CA
NPI1952806705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95061272)
Enumeration Date2018-03-26
Last Update Date2018-03-26
Business Address
MYRA BLAZO FAMILARA
3050 MONTROSE AVE
LA CRESCENTA, CA 91214-3619
Phone number: 818-957-0850
Mailing Address
MYRA BLAZO FAMILARA
7345 WOODLAND DR
INDIANAPOLIS, IN 46278-1737
Phone number: 317-286-2885