Shawny Jerretta Blake, BCHIS

NPI #1013142207 in Kennett, Missouri

Provider Information

NPI Number
1013142207
Entity Type
Individual
Name
Shawny Jerretta Blake, BCHIS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Hearing Instrument Specialist
Credential
BCHIS
Enumeration Date
May 18, 2009
Last Updated
May 18, 2009

Practice Location

Address
913B SAINT FRANCIS ST
ZIP Code
63857-1779
Phone
(573) 888-9881

Specialties & Taxonomy Codes

Specialty
Hearing Instrument Specialist

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