Blair Monell PA

NPI 1255617544 - Physician Assistant - 363AM0700X

NPI Details
NPI 1255617544
Gender Female
Enumeration Date 10/31/2011
Last Updated 06/15/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
805 AEROVISTA PL
SUITE 106
SAN LUIS OBISPO CA, 93401-7919, US
Phone (805) 594-1240
Fax
Business Location
805 AEROVISTA PL
SUITE 106
SAN LUIS OBISPO CA, 93401-7919, US
Phone (805) 594-1240
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State California
License Number PA21975
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According to our database, Blair Monell PA NPI is 1255617544, taxonomy code is 363AM0700X and license number is PA21975, license state is located at California. Blair Monell PA physically located at 805 Aerovista Pl, San Luis Obispo CA, 93401-7919. NPI Number Blair Monell PA has the Individual type.

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1255617544 NPI number is provided on an as is basis without warranty of any kind. 1255617544 is maintained by the National Plan & Provider Enumeration System. The contents of Blair Monell PA are for informational purposes only.