Individual
MISS KRISTI BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1300 DONNAN AVE APT E17, WASHINGTON, PA 15301-6537
(412) 883-9481
Mailing address
1300 DONNAN AVE APT E17, WASHINGTON, PA 15301-6537
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN312527
PA
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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