Blake, Amanda

Blake, Amanda is an individual health care provider with primary practice located at 1672 Sycamore Dr Apt 302 , Simi Valley CA 93065-3733. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Blake, Amanda can be contacted via phone (805) 404-0155.

Contact Information

Primary practice address
1672 Sycamore Dr Apt 302 Simi Valley CA 93065-3733
Phone: (805) 404-0155
Fax: (855) 882-5211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X RD86027382 California

Profile Details

NPI number 1225577208
LBN Legal business name Blake, Amanda
Credentials MS, RD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2017
Last updated Aug 31st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers