NPI 1376152124

George Blake

Practitioner Meals Provider Honolulu, HI

Practice location

Address: 581 Kamoku St APT 2008, Honolulu, HI 96826-5210
Phone: (808) 383-5189

Registered specialties

Meals Provider Primary

Other Service Providers Taxonomy 174200000X

Other Meals providers in Hawaii →

Registry record

NPI: 1376152124
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2020
Record last updated: 28 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.