Individual
DAPHNE ELLYN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(205) 366-4047
(720) 536-6440
Mailing address
2117 ANGUS ST, MEAD, CO 80542-4066
(720) 822-3071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1701976
CO
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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