person
Cortez Santino Blake SR.
Driver in Detroit, Michigan
NPI 1659049419

Cortez Santino Blake SR. is a Driver based in Detroit, MI. Cortez Santino Blake SR. practices in Detroit, MI. The NPI Number for Cortez Santino Blake SR. is 1659049419 and holds a License No. (Michigan).

The current practice location address for Cortez Santino Blake SR. is 19439 Trinity St, Detroit, MI and can be reached out via phone at 313-677-8559.

Location: 19439 Trinity St, Detroit, MI, 48219-1944
person
Provider Profile Details
NPI Number
1659049419
Provider Name
Cortez Santino Blake SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
19439 Trinity St, Detroit, MI, 48219-1944
Phone Number
313-677-8559
Fax Number
Provider Enumeration Date
09/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19439 Trinity St
City
State
Zip
48219-1944
Phone Number
313-677-8559
Fax Number
person
Provider Business Mailing Address Details
Address
19439 Trinity St
City
State
Zip
48219-1944
Phone Number
313-677-8559
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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