Individual
MR. BLAKE CALLENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-8088
(253) 968-2252
Mailing address
6675 CORPORATE CENTER PARKWAY, SUITE 112, JACKSONVILLE, FL 32216-8088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/05/2010
Last updated
06/17/2021
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