Individual
DR. ANIA JAMIE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
17625 JOY RD, DETROIT, MI 48228-1999
(313) 554-0485
Mailing address
5912 CLIFTON OAKS DR, CLARKSVILLE, MD 21029-1147
(301) 802-9178
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/16/2025
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