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Matthew Blake, IDC
NPI 1699278952 · on the registry since 2018
Practice
- Address
- 1336 Brunner St Apt H
San Diego, CA 92110 - Phone
- (931) 865-6165
Registry record
- Primary taxonomy
- Independent Duty Corpsman
1710I1002X
- Sex
- Male
- Record last updated
- 2018-03-13
- Status
- Not present in the most recent federal file
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