Individual provider · Type 1 NPI
Raylene Blandino, P.A.
Surgical Physician Assistant · Lodi, CA
NPI number
1083636401
Active
Practice location
801 S Ham Ln Ste A
Lodi, CA 95242-7502
Mailing address
50 S San Mateo Dr, #350
San Mateo, CA 94401-3857
Other practice locations
- 50 S San Mateo Dr, #350, San Mateo, CA 94401-3857 · (650) 342-3225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
| Physician Assistant | 363A00000X | PA16850 (CA) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Lodi
About NPI 1083636401
Raylene Blandino, P.A.'s National Provider Identifier is 1083636401, issued on Jul 24, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lodi, CA. The record was last updated on Nov 26, 2024.