Individual
JULIANNA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
27 BUCKINGHAM ST APT 4, ROCHESTER, NY 14607-2229
(585) 260-9895
Mailing address
1550 MALONE RD, VICTOR, NY 14564-9138
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
NY
Other
Enumeration date
02/10/2025
Last updated
01/22/2026
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