Alex Blaze

NPI #1316394489 in Puyallup, Washington

Provider Information

NPI Number
1316394489
Entity Type
Individual
Name
Alex Blaze
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
May 19, 2016
Last Updated
Jul 11, 2024

Practice Location

Address
16515 MERIDIAN E STE 101
ZIP Code
98375-6251
Phone
(253) 466-3178

Specialties & Taxonomy Codes

Specialty
Specialist

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