NPI 1003154287

Malissa Blair, RN

Practitioner Registered Nurse Fairfield, CA

Practice location

Address: 2101 Courage Dr, Fairfield, CA 94533
Phone: (707) 750-3000

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 801208 (CA)

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Registry record

NPI: 1003154287
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2013
Record last updated: 25 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.