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DR. CARIANNE BLOMQUIST D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1255528972

Individual Registrant:
DR. CARIANNE  BLOMQUIST D.O.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
630 DRAKE AVE  SAUSALITO, CA 94965-1107 US
Tel: 415-339-8813  Fax: 415-339-8814

Contact information for business:
630 DRAKE AVE  SAUSALITO, CA 94965-1107 US
Tel: 415-339-8813  Fax: 415-339-8814

Registration Information:
NPI: 1255528972
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
DCDO034225
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CA20A12300

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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