NPI 1467284398

Sharon a Blake

Practitioner Contractor Newark, NJ

Practice location

Address: 22 Seymour Ave 3, Newark, NJ 07108
Phone: (201) 285-9709
Mailing address: 8 Lombardy St Suite342, Newark, NJ 07102

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 0451157670 (NJ)

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Registry record

NPI: 1467284398
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2024
Record last updated: 19 Aug 2024

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.