Individual
BLAIR BRAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
865 THIRD AVE, CHULA VISTA, CA 91911-1300
(619) 500-8044
Mailing address
2755 TERESITA ST, SAN DIEGO, CA 92104-5254
(858) 335-5203
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
302615
CA
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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