SHAKUNTALA BLOMQUIST

UKIAH, CA
NPI1114557345
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95012569)
Enumeration Date2020-01-15
Last Update Date2020-01-15
Business Address
SHAKUNTALA BLOMQUIST
260 HOSPITAL DR
UKIAH, CA 95482-4568
Phone number: 707-463-8000
Mailing Address
SHAKUNTALA BLOMQUIST
325 GATE WAY
SANTA ROSA, CA 95401-8417
Phone number: 707-391-1423
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