BLAKE LAWRENCE SOLOMON

PHOENIX, AZ
NPI1225371776
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  AP4830)
Enumeration Date2013-04-03
Last Update Date2022-06-22
Business Address
Mr. BLAKE LAWRENCE SOLOMON PMHNP-BC
3227 E BELL RD
PHOENIX, AZ 85032-2700
Phone number: 602-374-7439
Mailing Address
Mr. BLAKE LAWRENCE SOLOMON PMHNP-BC
15066 W POST DR
SURPRISE, AZ 85374-1429
Phone number: 602-614-2135
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