Cortez Santino Blake Sr.
Cortez Santino Blake Sr. is a Driver in Detroit, Michigan. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
19439 Trinity StDetroit, MI 48219-1944
Phone: (313) 677-8559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1659049419 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 5, 2021 |
| Last updated in NPPES | September 5, 2021 |
| Certification date | September 5, 2021 |
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