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Individual

MS. TAWNY N BLANKINSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4112 E COMMERCE WAY, SACRAMENTO, CA 95834-9680
(916) 447-6337
(916) 283-9939
Mailing address
4156 MANZANITA AVE, CARMICHAEL, CA 95608-1496
(530) 559-4070

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20189
CA

Other

Enumeration date
02/17/2009
Last updated
10/17/2011
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