Kimberly Blake

NPI #1063138550 in Chagrin Falls, Ohio

Provider Information

NPI Number: 1063138550
Entity Type: Individual
Name: Kimberly Blake
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Oct 17, 2022
Last Updated: Oct 17, 2022

Practice Location

Address: 8107 PETTIBONE RD
City: Chagrin Falls
State: Ohio
ZIP Code: 44023-5001
Phone: (216) 339-3011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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