Stedmond L Blake
NPI #1902878192 in Ft Wainwright, Alaska
Provider Information
- NPI Number
- 1902878192
- Entity Type
- Individual
- Name
- Stedmond L Blake
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Feb 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1060 GAFFNEY RD
- Address 2
- COMMANDER,USA-MAEEAC-AK,ATTN:MCUC-MMD-QM
- City
- Ft Wainwright
- State
- Alaska
- ZIP Code
- 99703-5001
- Phone
- (907) 353-5418
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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