BLAKE SMITH

SANTA CRUZ, CA
NPI1336034149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95188574)
Enumeration Date2025-06-11
Last Update Date2025-06-11
Business Address
BLAKE SMITH
2250 SOQUEL AVE
SANTA CRUZ, CA 95062-1402
Phone number: 831-600-2800
Mailing Address
BLAKE SMITH
2250 SOQUEL AVE
SANTA CRUZ, CA 95062-1402
Phone number: