Melissa S. Blake, LPN
NPI #1356762298 in Middle Island, New York
Provider Information
- NPI Number
- 1356762298
- Entity Type
- Individual
- Name
- Melissa S. Blake, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Dec 19, 2013
- Last Updated
- Dec 19, 2013
Practice Location
- Address
- 58 ETHAN CIR
- City
- Middle Island
- State
- New York
- ZIP Code
- 11953-2644
- Phone
- (631) 512-3541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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