Organization
PALO ALTO PERFUSION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA L BLODGET CCP (PRESIDENT AND CHIEF PERFUSIONIST)
(408) 202-5609
Entity
Organization
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(408) 202-5609
Mailing address
2825 MAURICIA AVE, SANTA CLARA, CA 95051-6857
(408) 202-5609
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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