Individual
MR. ROBERT ALEXANDER BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1255 NUUANU AVE, 1309, HONOLULU, HI 96817-4017
(214) 514-9091
Mailing address
1255 NUUANU AVE, 1309, HONOLULU, HI 96817-4017
(214) 514-9091
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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