Individual provider · Type 1 NPI

Nicholas James Blank

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1326434408 Active

Practice location

4841 69th Pl, Unit A
San Diego, CA 92115-3016

Call (510) 329-0588 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1326434408

Nicholas James Blank's National Provider Identifier is 1326434408, issued on Apr 15, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Apr 15, 2015.