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
- State
- California
- ZIP Code
- 91786-4910
- Phone
- (909) 622-1235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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