Individual
MRS. SONYA RENEE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
RN
Contact information
Practice address
13104 JOHN LEE RD, BILOXI, MS 39532-9802
(228) 910-5630
(877) 211-6873
Mailing address
13104 JOHN LEE RD, BILOXI, MS 39532-9802
(228) 910-5630
(877) 211-6873
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
808389
MS
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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