BLAKE MICHAEL BAZA

SAN JOSE, CA
NPI1164175477
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2022-01-27
Last Update Date2026-04-28
Business Address
BLAKE MICHAEL BAZA
1870 SENTER RD
SAN JOSE, CA 95112-2528
Phone number: 408-961-4490
Mailing Address
BLAKE MICHAEL BAZA
1870 SENTER RD
SAN JOSE, CA 95112-2528
Phone number:
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