Individual
MR. JEAN-FREDERICK BLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-4712
(301) 401-2591
Mailing address
1416 LINCOLN AVE, SAN DIEGO, CA 92103-2604
(301) 401-2591
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001541
CA
Other
Enumeration date
02/28/2018
Last updated
08/22/2022
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