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Blaze Marshall
NPI 1528936473 · on the registry since 2025 · sole proprietor
Practice
- Address
- 24745 Stewart St
Loma Linda, CA 92350 - Phone
- (909) 558-1300
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-23
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