Individual
JUDITH BLAIKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 MARTIN PL, BROCKTON, MA 02301-6047
(774) 297-0379
Mailing address
460 QUINCY AVE, QUINCY, MA 02169-8130
(774) 297-0379
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN66638
MA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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