Individual
MARYLOU BLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MERCY CIRCLE, OCEANSIDE, CA 92055
(760) 685-1296
Mailing address
PO BOX 555191, OCEANSIDE, CA 92055-5191
(760) 685-1296
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
118012
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
95001321
CA
Other
Enumeration date
07/02/2018
Last updated
04/30/2025
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