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NPI 1376152124

IndividualActive

George Blake

NPI 1376152124 · Meals Provider · Honolulu, HI

Provider details

NPI number: 1376152124
Entity type: Individual
Primary specialty: Meals ProviderOther Service Providers
Sex: Male
Sole proprietor: Yes

Practice location

581 Kamoku St Apt 2008

Honolulu, HI 96826-5210

Phone: (808) 383-5189

More HI providers

Mailing address

581 Kamoku St Apt 2008

Honolulu, HI 96826-5210

Registry dates

Enumerated: 2020-07-28
Last updated: 2020-07-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

George Blake — NPI 1376152124, Honolulu, HI | NPI Central