Individual
CORINNA LYNN BLUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8170 LAGUNA BLVD, SUITE 101, ELK GROVE, CA 95758-7901
(916) 478-6565
(916) 691-5916
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA12384
CA
363A00000X
Physician Assistant
Primary
PA12384
CA
Other
Enumeration date
10/03/2006
Last updated
07/27/2015
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