Blanton, Deidra Wanice

Blanton, Deidra Wanice is an sole proprietor health care provider with primary practice located at 3606 W Exposition Blvd Crenshaw Area Office, Los Angeles CA 90016. She recently has only one registered license in Agencies / Case Management, which is considered as her primary health care specialty. Blanton, Deidra Wanice can be contacted via phone (323) 298-3534.

Contact Information

Primary practice address
3606 W Exposition Blvd Crenshaw Area Office Los Angeles CA 90016
Fax: (323) 296-3049
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1275716763
LBN Legal business name Blanton, Deidra Wanice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2007
Last updated Dec 7th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers