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Individual

BLAKE MASSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
3330 CHURN CREEK RD, SUITE D4, REDDING, CA 96002-2532
(530) 222-3287
(530) 222-8547
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(530) 222-3287
(530) 222-8547

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15490
CA

Other

Enumeration date
01/25/2007
Last updated
03/02/2012
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