NPI 1083730097
Raymond Blackshire
Practice location
- Address
- 527 Crocker St, Los Angeles, CA 90013-2116
- Phone
- (213) 488-9559
Registered specialties (2)
Rehabilitation Counselor
Primary
Registry record
- NPI
- 1083730097
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Mar 2007
- Record last updated
- 28 Apr 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.