Individual
LINDA MARIE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3919 NW 23RD CIR, GAINESVILLE, FL 32605-2682
(352) 316-3884
Mailing address
3919 NW 23RD CIR, GAINESVILLE, FL 32605-2682
(352) 316-3884
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
183700000X
Pharmacy Technician
Primary
RPT61221
FL
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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