Individual
MS. JOAN SALGE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,R.D.,L.D.N
Contact information
Practice address
524 BOSTON POST RD, WAYLAND, MA 01778-1833
(508) 358-4900
Mailing address
524 BOSTON POST RD, WAYLAND, MA 01778-1833
(508) 358-4900
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
35
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA2107
HARVARD PILGRIM
MA
01
—
LD0028
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/31/2006
Last updated
07/08/2007
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