Blayne Michael Vidrine
Blayne Michael Vidrine is a Surgical Technologist in LA Jolla, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
9850 Genesee Ave Ste 210LA Jolla, CA 92037-1206
Phone: (858) 535-1075
Fax: (858) 452-3283
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Specialties & licences
| Surgical Technologist (primary) | Taxonomy 246ZS0410X |
|---|
Record details
| NPI number | 1760147656 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 4, 2021 |
| Last updated in NPPES | November 4, 2021 |
| Certification date | November 4, 2021 |
| Mailing address | 9850 Genesee Ave Ste 210, La Jolla, CA 92037-1206 |
Other providers in LA Jolla
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Marco Ortiz
9850 Genesee Ave Ste 210, LA Jolla, CA 92037-1206 · (858) 535-1075