Individual
BLAKE A HUFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
521 N WILMA AVE STE A, RIPON, CA 95366-9503
(209) 599-4211
(209) 599-7348
Mailing address
PO BOX 210, RIPON, CA 95366-0210
(209) 599-4211
(209) 599-4341
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95013774
CA
Other
Enumeration date
02/12/2020
Last updated
01/03/2022
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