Search › California › 106H00000X
Jeanessa Blair
NPI 1942012380 · on the registry since 2025 · sole proprietor
Practice
- Address
- 17350 Mount Herrmann St Ste A
Fountain Valley, CA 92708 - Phone
- (310) 901-2564
- Organisation at this address
- Lds Family Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-23
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