Individual
DENISE A. BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8221
Mailing address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8233
(619) 540-4060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN372903
CA
Other
Enumeration date
02/27/2007
Last updated
07/22/2011
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