KADIAN ALICIA BLAKE

BRONX, NY
NPI1033354410
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2008-12-12
Last Update Date2008-12-12
Business Address
Miss KADIAN ALICIA BLAKE
1053 BURKE AVE
BRONX, NY 10469-3820
Phone number: 917-569-7845
Mailing Address
Miss KADIAN ALICIA BLAKE
1053 BURKE AVE
BRONX, NY 10469-3820
Phone number: 917-569-7845