License Directory

Blake Andrea Intravaia

Active

California license 179426

License

Licensed by
California State Board of Pharmacy
License number
179426
Status
Active
First issued
November 17, 2020
Expires
August 31, 2028
License holder
Blake Andrea Intravaia
Entity type
Individual

Classifications

More from the license record

License type code
TCH
School
Samford University (alabama)
Year graduated
2020
Degree
Degree Not Applicable

Contact

31900 Pace Ln
Desert Hot Springs, CA 92241
Riverside County