Individual
BLAIRE ELISE NASSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MPH
Contact information
Practice address
7695 CARDINAL CT STE 240, SAN DIEGO, CA 92123-3357
(858) 277-9378
Mailing address
10907 HIJOS WAY, SAN DIEGO, CA 92124-1412
(925) 588-8559
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A22503
CA
Other
Enumeration date
05/19/2020
Last updated
11/19/2024
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