Blazo, Jesse Raymond

Blazo, Jesse Raymond is an sole proprietor health care provider with primary practice located at 1904 Franklin St Ste 500 , Oakland CA 94612-2926. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Blazo, Jesse Raymond can be contacted via phone (510) 817-0680.

Contact Information

Primary practice address
1904 Franklin St Ste 500 Oakland CA 94612-2926
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 13903 California

Profile Details

NPI number 1417234675
LBN Legal business name Blazo, Jesse Raymond
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2011
Last updated Nov 15th, 2011 - about 13 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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