Individual
SANDRA LEE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
45 10TH ST W, NUTRITION SERVICES G447, SAINT PAUL, MN 55102-1062
(651) 232-3463
(651) 326-8783
Mailing address
45 10TH ST W, NUTRITION SERVICES G447, SAINT PAUL, MN 55102-1062
(651) 232-3463
(651) 326-8783
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1424
MN
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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