Individual
ERENDIRA BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 S SPRUCE AVE STE 200, SOUTH SAN FRANCISCO, CA 94080-4557
(415) 681-3211
Mailing address
170 S SPRUCE AVE STE 200, SOUTH SAN FRANCISCO, CA 94080-4557
(415) 681-3211
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-OQKUIW
CA
Other
Enumeration date
03/26/2019
Last updated
10/16/2023
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