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Individual

SHYRA SHAQUANDA BLAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1059 RIVER FOREST DR, FLINT, MI 48532-2803
(810) 610-6332
Mailing address
1059 RIVER FOREST DR, FLINT, MI 48532-2803
(810) 610-6332

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
802411452
MI

Other

Enumeration date
09/22/2025
Last updated
09/22/2025
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