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KRISTA BRIANA BLAUSTEIN PA-C

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1487144747

Individual Registrant:
 KRISTA BRIANA BLAUSTEIN PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1310 EL CAMINO REAL STE J  SAN BRUNO, CA 94066-1305 US
Tel: 650-270-2395  Fax: 650-270-2397

Contact information for business:
3400 DATA DR  RANCHO CORDOVA, CA 95670-7956 US
Tel: --  Fax: --

Registration Information:
NPI: 1487144747
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
CA55578

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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