BLAKE A OLIVA

SEATTLE, WA
NPI1467289439
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-09-16
Last Update Date2024-09-16
Business Address
Mr. BLAKE A OLIVA
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-543-0903
Mailing Address
Mr. BLAKE A OLIVA
1959 NE PACIFIC ST
SEATTLE, WA 98195-6365
Phone number: 206-543-0903