Individual
MRS. TIFFANY T BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 PARKSIDE CMNS, GREENSBORO, GA 30642-4532
(478) 501-9342
Mailing address
1020 PARKSIDE CMNS, GREENSBORO, GA 30642-4532
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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