WANDA J. BLAYLARK MD
Individual Provider (NPI-1)
Active
Preventive Medicine, Occupational Medicine
Provider Information
- NPI Number
1235198789- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 632 W GIBSON RD, WOODLAND, CA, 956955169
- Phone
- (530) 668-2600
- Fax
- (530) 669-5339
Specialties & Taxonomies
Preventive Medicine, Occupational Medicine
Primary License: CA #A48420
All Addresses
MAILING
3400 DATA DR ATTN CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA, 956707956