Shadonna Adofi Blake, LPN
NPI #1003206624 in Far Rockaway, New York
Provider Information
- NPI Number
- 1003206624
- Entity Type
- Individual
- Name
- Shadonna Adofi Blake, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Feb 3, 2015
- Last Updated
- Feb 3, 2015
Practice Location
- Address
- 1424 MOTT AVE
- City
- Far Rockaway
- State
- New York
- ZIP Code
- 11691-5108
- Phone
- (347) 752-2926
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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