BLAINE ROBERT LEE

BREA, CA
NPI1467226373
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95027984)
Enumeration Date2023-11-10
Last Update Date2024-04-24
Business Address
BLAINE ROBERT LEE PMHNP-BC
431 W LAMBERT RD STE 310
BREA, CA 92821-3918
Phone number: 714-325-7110
Mailing Address
BLAINE ROBERT LEE PMHNP-BC
2375 E IMPERIAL HWY # 1137
BREA, CA 92821-6112
Phone number:
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