Blystone, Lebrock Shynnel

Blystone, Lebrock Shynnel is an individual health care provider with primary practice located at 4000 La Rica Ave Ste D, Baldwin Park CA 91706-3163. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Blystone, Lebrock Shynnel can be contacted via phone (626) 430-9171.

Contact Information

Primary practice address
4000 La Rica Ave Ste D Baldwin Park CA 91706-3163
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 83522 California

Profile Details

NPI number 1205232204
LBN Legal business name Blystone, Lebrock Shynnel
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2014
Last updated Nov 18th, 2014 - about 10 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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