Individual
TANYA BLODGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1290
(650) 493-5000
Mailing address
2825 MAURICIA AVE, SANTA CLARA, CA 95051-6857
(408) 243-8384
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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