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Justine True Blide, PA
Adult Medicine Physician in Truckee, California
NPI 1538895156

Justine True Blide is an Adult Medicine Physician based in Truckee, CA and is specialized in Adult Medicine. Justine True Blide practices in Truckee, CA and has the professional credentials of PA. The NPI Number for Justine True Blide is 1538895156 and holds a License No. PENDING (California).

The current practice location address for Justine True Blide is 11075 Alder Dr, Truckee, CA and can be reached out via phone at 530-414-3492.

Location: 11075 Alder Dr, Truckee, CA, 96161-2812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538895156
Provider Name
Justine True Blide
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
11075 Alder Dr, Truckee, CA, 96161-2812
Phone Number
530-414-3492
Fax Number
Provider Enumeration Date
07/26/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 CA
institution
Provider Business Practice Location Address Details
Address
11075 Alder Dr
City
Truckee
State
California
Zip
96161-2812
Phone Number
530-414-3492
Fax Number
person
Provider Business Mailing Address Details
Address
11075 Alder Dr
City
Truckee
State
California
Zip
96161-2812
Phone Number
530-414-3492
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
PENDING (California)
Definition
Definition to come.
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