Individual
MIDORI BLASINGAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3810 ROSIN CT STE 180, SACRAMENTO, CA 95834-1656
(916) 283-8280
(916) 283-8259
Mailing address
3810 ROSIN CT STE 180, SACRAMENTO, CA 95834-1656
(916) 283-8280
(916) 283-8259
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41915
CA
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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