Individual
KATELYNN BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3933 PATTISON ST, CINCINNATI, OH 45204-1067
(859) 312-4321
Mailing address
3933 PATTISON ST, CINCINNATI, OH 45204-1067
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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