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Tristan Ryan Blair
Attendant Care Provider in San Diego, California
NPI 1689457319

Tristan Ryan Blair is an Attendant Care Provider based in San Diego, CA and is specialized in Attendant Care Provider. Tristan Ryan Blair practices in San Diego, CA. The NPI Number for Tristan Ryan Blair is 1689457319 and holds a License No. (California).

The current practice location address for Tristan Ryan Blair is 15190 Segovia Ct, San Diego, CA and can be reached out via phone at 661-525-6165.

Location: 15190 Segovia Ct, San Diego, CA, 92129-1219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689457319
Provider Name
Tristan Ryan Blair
Credential
Provider Entity Type
Individual
Gender
Male
Address
15190 Segovia Ct, San Diego, CA, 92129-1219
Phone Number
661-525-6165
Fax Number
Provider Enumeration Date
08/16/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F8351466 01 AR DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
15190 Segovia Ct
City
San Diego
State
California
Zip
92129-1219
Phone Number
661-525-6165
Fax Number
person
Provider Business Mailing Address Details
Address
15190 Segovia Ct
City
San Diego
State
California
Zip
92129-1219
Phone Number
661-525-6165
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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