Individual
BLAKE DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
19333 BEAR VALLEY RD STE 103, APPLE VALLEY, CA 92308-5149
(714) 618-9500
Mailing address
415 SOUTH 28TH AVENUE HATTIESBURG, HATTIESBURG, MS 39401
(601) 579-5210
(601) 268-5733
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-2197
MS
Other
Enumeration date
06/26/2023
Last updated
05/07/2024
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