Individual provider · Type 1 NPI

Blaise Cherie Eversole

Student in an Organized Health Care Education/Training Program · Long Beach, CA

NPI number 1194685206 Active

Practice location

2120 W Williams St
Long Beach, CA 90810-3636

Call (562) 388-8118 Map

Mailing address

2106 E Bermuda St Apt 206
Long Beach, CA 90814-6066

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194685206

Blaise Cherie Eversole's National Provider Identifier is 1194685206, issued on Nov 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Beach, CA. The record was last updated on Nov 14, 2025.