Individual
DANIELLE MICHELLE BLONSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
508 GIBSON DR STE 220, ROSEVILLE, CA 95678-5796
(916) 773-5577
Mailing address
2109 J ST STE 301, SACRAMENTO, CA 95816-4767
(650) 391-7545
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95019613
CA
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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