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Individual

JANE W. BLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-2574
Mailing address
2100 SHELBY CIR, EL DORADO HILLS, CA 95762-4279
(916) 939-0600

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1206
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN4198130
CA
Enumeration date
12/13/2006
Last updated
07/08/2007
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