Samantha J Blake
NPI #1285222018 in Kulm, North Dakota
Provider Information
- NPI Number
- 1285222018
- Entity Type
- Individual
- Name
- Samantha J Blake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Jan 7, 2021
- Last Updated
- Jan 7, 2021
Practice Location
- Address
- 104 2ND ST SE
- City
- Kulm
- State
- North Dakota
- ZIP Code
- 58456-7245
- Phone
- (701) 830-9975
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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