Vidrine, Blayne Michael

Vidrine, Blayne Michael is an individual health care provider with primary practice located at 9850 Genesee Ave Ste 210 , La Jolla CA 92037-1206. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Vidrine, Blayne Michael can be contacted via phone (858) 535-1075.

Contact Information

Primary practice address
9850 Genesee Ave Ste 210 La Jolla CA 92037-1206
Phone: (858) 535-1075
Fax: (858) 452-3283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X

Profile Details

NPI number 1760147656
LBN Legal business name Vidrine, Blayne Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2021
Last updated Nov 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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