Individual
BLAKE WINZELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1440 BROADWAY, 610, OAKLAND, CA 94612-2041
(510) 628-9065
Mailing address
1465 YORK ST, SAN FRANCISCO, CA 94110-4822
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
01/03/2022
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