Individual
CAMERON BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 MILES ST, DAMARISCOTTA, ME 04543-4047
(207) 563-1234
Mailing address
4 MILLS RD PMB 103, NEWCASTLE, ME 04553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2212
ME
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/08/2021
Last updated
09/14/2021
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