JEFFREY BLAKE

TACOMA, WA
NPI1093734451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: WA  md00044860)
Enumeration Date2006-07-18
Last Update Date2010-09-08
Business Address
-- JEFFREY BLAKE MD
317 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-403-1418
Mailing Address
-- JEFFREY BLAKE MD
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-403-1418
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