Gary S Blake

NPI #1487362463 in Flemington, West Virginia

Provider Information

NPI Number
1487362463
Entity Type
Individual
Name
Gary S Blake
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Nov 9, 2022
Last Updated
Nov 9, 2022

Practice Location

Address
1160 SIMPSON RD
ZIP Code
26347-6224
Phone
(304) 629-6585

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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