Individual
MRS. TARA A BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6450 PERALTA PL, JURUPA VALLEY, CA 92509-6352
(951) 222-7701
Mailing address
6450 PERALTA PL, JURUPA VALLEY, CA 92509-6352
(951) 222-7701
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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