Gayle F Blanc, MA

Individual provider Active NPI Case Manager/Care Coordinator · San Andreas, CA

NPI 1700939337 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1700939337
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
891 Mountain Ranch Rd
San Andreas, CA 95249-9713
Phone
(209) 754-6776
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

891 Mountain Ranch Rd
San Andreas, CA 95249-9713

Mailing address

224 Acorn Dr
Angels Camp, CA 95222-9812
Phone (209) 736-9652

Other providers in San Andreas, CA

All providers in San Andreas, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.