Individual
DR. CARIANNE BLOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
630 DRAKE AVE, SAUSALITO, CA 94965-1107
(415) 339-8813
(415) 339-8814
Mailing address
630 DRAKE AVE, SAUSALITO, CA 94965-1107
(415) 339-8813
(415) 339-8814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A12300
CA
207Q00000X
Family Medicine Physician
DO034225
DC
Other
Enumeration date
09/26/2007
Last updated
11/08/2012
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