Individual
BLAIR MONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
805 AEROVISTA PL, SUITE 106, SAN LUIS OBISPO, CA 93401-7919
(805) 594-1240
Mailing address
6360 S 3000 E, STE 220, SALT LAKE CITY, UT 84121-6924
(805) 594-1240
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
UT
Other
Enumeration date
10/31/2011
Last updated
09/21/2017
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