Blaylark, Wanda J.
Blaylark, Wanda J. is an individual health care provider with primary practice located at 632 W Gibson Rd , Woodland CA 95695-5169. She recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as her primary health care specialty. Blaylark, Wanda J. can be contacted via phone (530) 668-2600.Contact Information
Primary practice address
632 W Gibson Rd
Woodland CA 95695-5169
Phone: (530) 668-2600
Fax: (530) 669-5339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | A48420 | California |
Profile Details
| NPI number | 1235198789 |
|---|---|
| LBN Legal business name | Blaylark, Wanda J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Aug 7th, 2020 - about 4 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.
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