Individual
HEATHER BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 HOSPITAL PKWY, SAN JOSE, CA 95119-1103
(408) 972-3000
Mailing address
501 BAY ST, SANTA CRUZ, CA 95060-6057
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
105569
CA
Other
Enumeration date
01/24/2015
Last updated
05/08/2025
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