George Blake
George Blake is a Meals Provider in Honolulu, Hawaii. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
581 Kamoku St Apt 2008Honolulu, HI 96826-5210
Phone: (808) 383-5189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Meals Provider (primary) | Taxonomy 174200000X |
|---|
Record details
| NPI number | 1376152124 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 28, 2020 |
| Last updated in NPPES | July 28, 2020 |
| Certification date | July 28, 2020 |
| Mailing address | 581 Kamoku St Apt 2008, Honolulu, HI 96826-5210 |