Judith Elise Blake, PA-C

NPI #1942749965 in Daphne, Alabama

Provider Information

NPI Number
1942749965
Entity Type
Individual
Name
Judith Elise Blake, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Feb 23, 2017
Last Updated
Oct 16, 2023

Practice Location

Address
1505 DAPHNE AVE
City
Daphne
State
Alabama
ZIP Code
36526-4298
Phone
(251) 625-2663

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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