Individual provider · Type 1 NPI

Ania Jamie Blake, DDS

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1407647902 Active

Practice location

17625 Joy Rd
Detroit, MI 48228-1999

Call (313) 554-0485 Map

Mailing address

5912 Clifton Oaks Dr
Clarksville, MD 21029-1147

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407647902

Ania Jamie Blake, DDS's National Provider Identifier is 1407647902, issued on May 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on May 16, 2025.