SINCLAIR EVERADE BLAKE

SACRAMENTO, CA
NPI1972688703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA60143)
Additional Taxonomies363A00000X Physician Assistant
(Licence: WA  PA10003885)
Enumeration Date2006-10-27
Last Update Date2022-10-06
Business Address
SINCLAIR EVERADE BLAKE
2221 STOCKTON BLVD
SACRAMENTO, CA 95817-1418
Phone number: 916-734-7622
Mailing Address
SINCLAIR EVERADE BLAKE
2221 STOCKTON BLVD
SACRAMENTO, CA 95817-1418
Phone number: