Kathleen Susan Blake

NPI #1841032745 in Livonia, New York

Provider Information

NPI Number
1841032745
Entity Type
Individual
Name
Kathleen Susan Blake
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 11, 2024
Last Updated
Jun 11, 2024

Practice Location

Address
5988 PRICE RD
ZIP Code
14487-9672
Phone
(401) 316-2777

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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