Jordan Blankenship

NPI 1578874251 · on the registry since 2010

Practice

Address: 286 Euclid Ave
Suite 302
San Diego, CA 92114
Phone: (619) 662-4100
Organisation at this address: Project Enable
Semca Pharmacy
Gene P. Moore Dds
Kenneth Wells, Dpm, Inc
Park Medical Pharmacy, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 105

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Also registered as: 101YM0800X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-09-30

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