Individual
MR. DENNIS PATRICK BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3104 SUNSET BLVD #2B, ROCKLIN, CA 95677
(916) 624-0300
(916) 624-0631
Mailing address
203 STANTON CT, LINCOLN, CA 95648
(916) 543-9927
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16607
CA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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