Rebecca Eve O'donnell Blake, PA-C

NPI #1043700214 in Waltham, Massachusetts

Provider Information

NPI Number: 1043700214
Entity Type: Individual
Name: Rebecca Eve O'donnell Blake, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 14, 2018
Last Updated: Sep 5, 2023

Practice Location

Address: 52 SECOND AVE
City: Waltham
State: Massachusetts
ZIP Code: 02451-1127
Phone: (781) 487-6181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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