Nadia R Blake
Nadia R Blake is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
Phoenix, AZNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 11100 Euclid Ave, Cleveland, OH 44106-1716 — (340) 626-1641
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence D012280 (AZ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1114613411 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 11, 2023 |
| Last updated in NPPES | September 9, 2024 |
| Certification date | September 9, 2024 |
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