SearchCalifornia106H00000X

Jonathan Blankenship

NPI 1053055301 · on the registry since 2022

Practice

Address
520 N Main St Ste 101
Angels Camp, CA 95222
Phone
(209) 736-9030

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California