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Search › California › 103K00000X

Jorge Blackwood

NPI 1417404336 · on the registry since 2016

Practice

Address
1627 S Hargrave St
Banning, CA 92220
Phone
(951) 922-7612
Fax
(951) 922-7730
Organisation at this address
County Of Riverside
Mh Detention Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
45

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Male
Record last updated
2016-09-08

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