Individual
RAYLENE BLANDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
801 S HAM LN STE A, LODI, CA 95242-7502
(209) 333-3376
Mailing address
50 S SAN MATEO DR, #350, SAN MATEO, CA 94401-3857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA16850
CA
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2006
Last updated
11/26/2024
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