JAY L BLAKE

SAN DIEGO, CA
NPI1619284742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MA  RN2265898)
Enumeration Date2010-09-10
Last Update Date2023-08-07
Business Address
JAY L BLAKE NP
3965 FIFTH AVE STE 200
SAN DIEGO, CA 92103-3107
Phone number: 619-542-2483
Mailing Address
JAY L BLAKE NP
3965 FIFTH AVE STE 200
SAN DIEGO, CA 92103-3107
Phone number: 619-542-2483
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