Individual
KRISTIAN BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 BOB BLAKE RD, OAK HILL, WV 25901-5873
(304) 640-2646
Mailing address
80 BOB BLAKE RD, OAK HILL, WV 25901-5873
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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