ANDRE ANTHONY BLAKE

REDLANDS, CA
NPI1588655682
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  PA16708)
Enumeration Date2005-10-31
Last Update Date2020-02-03
Business Address
Mr. ANDRE ANTHONY BLAKE P.A.
2 W FERN AVE
REDLANDS, CA 92373-5916
Phone number: 909-793-3311
Mailing Address
Mr. ANDRE ANTHONY BLAKE P.A.
PO BOX 10069
SAN BERNARDINO, CA 92423-0069
Phone number:
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