Individual
DAISY BLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1733 EUCLID AVE, SAN DIEGO, CA 92105-5414
(619) 263-0433
(619) 263-3992
Mailing address
1370 LOS COCHES CT, CHULA VISTA, CA 91910-7112
(619) 249-0894
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
753993
CA
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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