Regina Blake
NPI #1003203803 in Concord Twp, Ohio
Provider Information
- NPI Number
- 1003203803
- Entity Type
- Individual
- Name
- Regina Blake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Apr 20, 2015
- Last Updated
- Apr 20, 2015
Practice Location
- Address
- 7757 AUBURN RD
- City
- Concord Twp
- State
- Ohio
- ZIP Code
- 44077-9609
- Phone
- (440) 350-2547
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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