Individual
MR. ERIC BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1655 SAN CARLOS AVE APT 5, SAN CARLOS, CA 94070-2052
(650) 493-5000
Mailing address
1655 SAN CARLOS AVE APT 5, SAN CARLOS, CA 94070-2052
(650) 493-5000
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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