Search › California › 101YS0200X
Mary Blake
NPI 1740113687 · on the registry since 2026 · sole proprietor
Practice
- Address
- 418 N Kodiak St Apt A
Anaheim, CA 92807 - Phone
- (714) 349-8164
Registry record
- Primary taxonomy
- 101YS0200X
101YS0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-08
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