Individual
DR. BLAKE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4352 COCHRAN ST, SIMI VALLEY, CA 93063-2352
(805) 208-7113
Mailing address
4352 COCHRAN ST, SIMI VALLEY, CA 93063-2352
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
35196
CA
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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