Provider Demographics
NPI:1548609928
Name:BLAKE, CARA A (DVM, DACVS)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:A
Last Name:BLAKE
Suffix:
Gender:F
Credentials:DVM, DACVS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 JESSICA LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1267
Mailing Address - Country:US
Mailing Address - Phone:781-974-5623
Mailing Address - Fax:
Practice Address - Street 1:53 JESSICA LN
Practice Address - Street 2:
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1267
Practice Address - Country:US
Practice Address - Phone:781-974-5623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA6356174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian