STEPHANIE DAWN BLODGETT

MISSION VIEJO, CA
NPI1720287170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA19213)
Enumeration Date2007-07-16
Last Update Date2021-11-30
Business Address
-- STEPHANIE DAWN BLODGETT PA-C
23962 ALICIA PKWY STE I-1
MISSION VIEJO, CA 92691-3940
Phone number: 949-452-7699
Mailing Address
-- STEPHANIE DAWN BLODGETT PA-C
2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2673
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