Individual
SHARON A BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T
Contact information
Practice address
3005 E PALMDALE BLVD, PALMDALE, CA 93550-1831
(424) 326-5298
Mailing address
2714 W SLAUSON AVE, LOS ANGELES, CA 90043-3252
(310) 357-3358
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
83185
CA
Other
Enumeration date
02/23/2020
Last updated
02/23/2020
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