Individual
DARAMIA JOSEPHINE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1622 E 84TH ST, CLEVELAND, OH 44103-3487
(216) 562-9793
Mailing address
1622 E 84TH ST, CLEVELAND, OH 44103-3487
(216) 562-9793
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
156038
OH
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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