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Tara Blake

NPI 1366392631 · on the registry since 2026 · sole proprietor

Practice

Address
6450 Peralta Pl
Jurupa Valley, CA 92509
Phone
(951) 222-7701

Registry record

Primary taxonomy
171400000X
171400000X
Sex
Female
Record last updated
2026-01-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California