Mr. Matthew Alexander Blake, IDC
Mr. Matthew Alexander Blake, IDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1336 Brunner St Apt HSan Diego, CA 92110-1690
Phone: (931) 865-6165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1699278952 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | March 13, 2018 |
| Last updated in NPPES | March 13, 2018 |
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