JACOB DANIEL BLASI

TRAVIS AFB, CA
NPI1114682291
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA60435)
Enumeration Date2021-11-03
Last Update Date2024-07-12
Business Address
JACOB DANIEL BLASI PA-C
60 MDG/SGGPC 101 BODIN CIRCLE
TRAVIS AFB, CA 94535-1809
Phone number: 530-846-9080
Mailing Address
JACOB DANIEL BLASI PA-C
60 MDG/SGGPC 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Phone number: