Jacob Daniel Blasi, PA-C Valid NPI

Individual provider · Physician Assistant · Auburn, CA

NPI

1114682291

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA60435 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2021-11-03

Last updated

2025-03-05