Individual
MRS. JOANNE ELIZABETH BLOUIN
Active
Individual
MRS. JOANNE ELIZABETH BLOUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
13
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043480187
TAX ID
—
01
—
13
LICENSE
MA
01
—
MA0120395
CONTROL LIC
MA
Enumeration date
07/28/2006
Last updated
03/07/2023
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