Individual
BLAKE SAMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
918 DAISY DR, WAPAKONETA, OH 45895-1019
(419) 371-6911
Mailing address
912 ASTER DR, WAPAKONETA, OH 45895-1009
(419) 371-6911
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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