Torie Blake

NPI #1568770519 in Detroit, Michigan

Provider Information

NPI Number: 1568770519
Entity Type: Individual
Name: Torie Blake
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chore Provider
Enumeration Date: Sep 23, 2010
Last Updated: Feb 28, 2017

Practice Location

Address: 6313 BEGOLE ST
City: Detroit
State: Michigan
ZIP Code: 48210-1209
Phone: (313) 229-0788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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