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

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Medical Physician Assistant Primary 363AM0700X5601010756 (MI)

Medical Physician Assistant: Definition to come...

407 other providers at this address

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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.