MR. Blake Vicent Ireland
NPI #1154844504 in Northfield, Vermont
Provider Information
- NPI Number
- 1154844504
- Entity Type
- Individual
- Name
- MR. Blake Vicent Ireland
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Jul 18, 2017
- Last Updated
- Jul 18, 2017
Practice Location
- Address
- 158 HARMON DR
- City
- Northfield
- State
- Vermont
- ZIP Code
- 05663-1000
- Phone
- (203) 565-1815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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