Robert Demarest Blake JR.
NPI #1285029389 in Fillmore, New York
Provider Information
- NPI Number
- 1285029389
- Entity Type
- Individual
- Name
- Robert Demarest Blake JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Apr 6, 2015
- Last Updated
- Apr 6, 2015
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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