Individual provider · Type 1 NPI
Jessica Marian Blanco, PA-C
Medical Physician Assistant · Pontiac, MI
NPI number
1043704802
Active
Practice location
44405 Woodward Ave
Pontiac, MI 48341-5023
Mailing address
651 Darwin St
Westland, MI 48186-9204
Other practice locations
- 41521 W 11 Mile Rd, Novi, MI 48375-1803 · (248) 299-0030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 5601010756 (MI) |
Medical Physician Assistant: Definition to come...
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About NPI 1043704802
Jessica Marian Blanco, PA-C's National Provider Identifier is 1043704802, issued on Jun 15, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pontiac, MI. The record was last updated on Sep 14, 2021.