MS. Shirley R Blake, M.S.

NPI #1467988360 in Bristol, Virginia

Provider Information

NPI Number: 1467988360
Entity Type: Individual
Name: MS. Shirley R Blake, M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.S.
Enumeration Date: May 11, 2017
Last Updated: May 11, 2017

Practice Location

Address: 24063 HIGHPOINT RD
City: Bristol
State: Virginia
ZIP Code: 24202-4707
Phone: (276) 971-0079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Interpreter	171R00000X
Specialist	174400000X	Primary
Prevention Professional	405300000X

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