Maelise Blosse

NPI 1477954006 · on the registry since 2014

Practice

Address: 2090 Evans Ln
San Jose, CA 95125
Phone: (650) 591-9623
Organisation at this address: County Of Santa Clara
County Of Santa Clara
Evans Lane Wellness And Recovery Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California