IndividualActive
Cortez Blake
NPI 1659049419 · Driver · Detroit, MI
Provider details
- NPI number
- 1659049419
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
19439 Trinity St
Detroit, MI 48219-1944
Registry dates
- Enumerated
- 2021-09-05
- Last updated
- 2021-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.