AUDREY BLAINE

CHULA VISTA, CA
NPI1629311964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  21933)
Enumeration Date2013-04-05
Last Update Date2021-09-04
Business Address
AUDREY BLAINE F.N.P
751 MEDICAL CENTER CT
CHULA VISTA, CA 91911-6617
Phone number: 619-502-5800
Mailing Address
AUDREY BLAINE F.N.P
1535 NORTHRIM CT UNIT 258
SAN DIEGO, CA 92111-7338
Phone number:
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