Individual
MR. JOSEPH PETER BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
50100 GOLSH RD, VALLEY CENTER, CA 92082-5338
(760) 749-1410
(760) 749-2151
Mailing address
PO BOX 406, PAUMA VALLEY, CA 92061-0406
(760) 749-1410
(760) 749-2151
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN414885
CA
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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