Individual provider · Type 1 NPI
Mona Louise Blake
Student in an Organized Health Care Education/Training Program · Vallejo, CA
NPI number
1942967948
Active
Practice location
2122 Sacramento St
Vallejo, CA 94590-3126
Mailing address
400 Broadway Fl 2
Oakland, CA 94607-3807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
4 other providers at this address
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About NPI 1942967948
Mona Louise Blake's National Provider Identifier is 1942967948, issued on Nov 24, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Vallejo, CA. The record was last updated on Sep 9, 2026.