Search › California › 172V00000X
Blair Wishom
NPI 1316302532 · on the registry since 2015
Practice
- Address
- 2495 W March Ln Ste 125
Stockton, CA 95207 - Phone
- (209) 320-7675
- Organisation at this address
- Victor Community Support Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 277
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 101Y00000X
- Sex
- Male
- Record last updated
- 2023-12-13
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