Madison Souza Blume, PA-C

NPI #1194434498 in Upland, California

Provider Information

NPI Number
1194434498
Entity Type
Individual
Name
Madison Souza Blume, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Nov 16, 2022
Last Updated
Nov 16, 2022

Practice Location

Address
1230 E ARROW HWY
City
Upland
ZIP Code
91786-4910
Phone
(909) 622-1235

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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