Amanda Blake, MS, RD
NPI #1225577208 in Simi Valley, California
Provider Information
- NPI Number
- 1225577208
- Entity Type
- Individual
- Name
- Amanda Blake, MS, RD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- MS, RD
- Enumeration Date
- Feb 23, 2017
- Last Updated
- Aug 31, 2024
Practice Location
- Address
- 1672 SYCAMORE DR APT 302
- City
- Simi Valley
- State
- California
- ZIP Code
- 93065-3733
- Phone
- (805) 404-0155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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