Individual
ALEXA APRIL BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 1ST AVE SW, QUINCY, WA 98848-1695
(509) 787-6423
Mailing address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
RN60846698
WA
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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