BLAYNE MICHAEL VIDRINE

LA JOLLA, CA
NPI1760147656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date2021-11-04
Last Update Date2021-11-04
Business Address
BLAYNE MICHAEL VIDRINE
9850 GENESEE AVE STE 210
LA JOLLA, CA 92037-1206
Phone number: 858-535-1075
Mailing Address
BLAYNE MICHAEL VIDRINE
9850 GENESEE AVE STE 210
LA JOLLA, CA 92037-1206
Phone number: 858-535-1075
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