Mierra Mary Blake
Mierra Mary Blake is a Rehabilitation Practitioner in Sacramento, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
7171 Bowling DrSacramento, CA 95823-2034
Phone: (707) 740-2420
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X (CA) |
|---|---|
| Rehabilitation Practitioner | Taxonomy 225400000X |
Record details
| NPI number | 1053003939 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 22, 2023 |
| Last updated in NPPES | August 3, 2026 |
| Certification date | August 3, 2026 |
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