Robert Blaker

NPI #1659766533 in Boaz, Alabama

Provider Information

NPI Number: 1659766533
Entity Type: Individual
Name: Robert Blaker
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 30, 2015
Last Updated: Mar 30, 2015

Practice Location

Address: 68 HUDSON DR
City: Boaz
State: Alabama
ZIP Code: 35956-3522
Phone: (256) 558-6589

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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