Charles Blythe
NPI #1528259231 in San Jacinto, California
Provider Information
- NPI Number
- 1528259231
- Entity Type
- Individual
- Name
- Charles Blythe
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 7, 2007
- Last Updated
- Aug 7, 2007
Practice Location
- Address
- 102 W MAIN ST
- City
- San Jacinto
- State
- California
- ZIP Code
- 92583-4121
- Phone
- (951) 487-8325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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