Individual
BROOKE CHRISTINE BLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
502 EUCLID AVE STE 204, NATIONAL CITY, CA 91950-2949
(619) 765-2684
Mailing address
29911 NIGUEL ROAD, PO BOX 7312, LAGUNA NIGUEL, CA 92607-9998
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56334
CA
Other
Enumeration date
12/08/2018
Last updated
08/09/2021
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