Michael Leeroy Blake
NPI #1922729094 in Glendale, West Virginia
Provider Information
- NPI Number
- 1922729094
- Entity Type
- Individual
- Name
- Michael Leeroy Blake
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Sep 7, 2022
- Last Updated
- Sep 7, 2022
Practice Location
- Address
- 27 BOULDER RD
- City
- Glendale
- State
- West Virginia
- ZIP Code
- 26038
- Phone
- (304) 650-1797
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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