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Le'Nia Blackburn

NPI 1437790342 · on the registry since 2019

Practice

Address
500 Crown Point Cir Ste 120
Grass Valley, CA 95945
Phone
(530) 265-5811
Organisation at this address
Laura Wilcox
County Of Nevada
Inferred from a shared address, not stated in the registry.
Clinicians at this address
190

Additional practice sites

  • 1811 Grand Canal Blvd, Stockton, CA

Registry record

Primary taxonomy
372600000X
372600000X
Also registered as
106S00000X
171M00000X
172V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-20

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