ZACHARY ELLIS BLAKE

JEFFERSON, LA
NPI1437850674
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  338274)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2023-03-14
Last Update Date2023-09-15
Business Address
ZACHARY ELLIS BLAKE PA-C
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number: 504-842-3000
Mailing Address
ZACHARY ELLIS BLAKE PA-C
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number: 504-842-4000
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