MISS Kadian Alicia Blake

NPI #1033354410 in Bronx, New York

Provider Information

NPI Number
1033354410
Entity Type
Individual
Name
MISS Kadian Alicia Blake
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Enumeration Date
Dec 12, 2008
Last Updated
Dec 12, 2008

Practice Location

Address
1053 BURKE AVE
City
Bronx
ZIP Code
10469-3820
Phone
(917) 569-7845

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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