ALEX BLAZE

PUYALLUP, WA
NPI1316394489
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WA  MA60630103)
Enumeration Date2016-05-19
Last Update Date2024-07-11
Business Address
ALEX BLAZE
16515 MERIDIAN E STE 101
PUYALLUP, WA 98375-6251
Phone number: 253-466-3178
Mailing Address
ALEX BLAZE
16515 MERIDIAN E STE 101
PUYALLUP, WA 98375-6251
Phone number: 253-466-3178