Mr. ANDRE ANTHONY BLAKE P.A.
Individual Provider (NPI-1)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1588655682- Provider Type
- Individual Provider (NPI-1)
- Credentials
- P.A.
- Status
- Active
Contact & Location
- Address
- 2 W FERN AVE, REDLANDS, CA, 923735916
- Phone
- (909) 793-3311
- Fax
- (909) 335-4190
Specialties & Taxonomies
Physician Assistant, Surgical
Primary License: CA #PA16708
All Addresses
MAILING
PO BOX 10069
SAN BERNARDINO, CA, 924230069