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Search › California › 101Y00000X

Brentt Blackmon

NPI 1750951109 · on the registry since 2021 · sole proprietor

Practice

Address
9412 Big Horn Blvd Ste 6
Elk Grove, CA 95758
Phone
(916) 402-9007
Organisation at this address
Tai Healthcare Llc
Another Choice Another Chance
River Oak Center For Children
River Oak Center For Children
River Oak Center For Children
Inferred from a shared address, not stated in the registry.
Clinicians at this address
261

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
106S00000X
Sex
Male
Record last updated
2021-09-15

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