Individual
MRS. MONICA F. BLAISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1260 D ST, MERCED, CA 95340-6248
(209) 725-7551
(209) 725-7556
Mailing address
3431 BEALS CT, MERCED, CA 95348-2804
(209) 722-8234
(209) 722-8234
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
E205514
CA
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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