Individual
LORI BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
631 GRADALL CT, POWELL, OH 43065-8453
(614) 456-9709
Mailing address
631 GRADALL CT, POWELL, OH 43065-8453
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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