MRS. Alice M Payne-Blake
NPI #1295088144 in North Miami Beach, Florida
Provider Information
- NPI Number
- 1295088144
- Entity Type
- Individual
- Name
- MRS. Alice M Payne-Blake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietetic Technician, Registered
- Enumeration Date
- Oct 16, 2012
- Last Updated
- Oct 16, 2012
Practice Location
- Address
- 540 NE 179TH DR
- Address 2
- MIAMI
- State
- Florida
- ZIP Code
- 33162-1922
- Phone
- (305) 650-9024
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietetic Technician, Registered |
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