Brent Blair, MA

NPI #1003933979 in Los Angeles, California

Provider Information

NPI Number: 1003933979
Entity Type: Individual
Name: Brent Blair, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: MA
Enumeration Date: Mar 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1200 WILSHIRE BLVD STE 500
City: Los Angeles
State: California
ZIP Code: 90017-1934
Phone: (213) 481-7464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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