Individual
BLAKE ROUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
VB 360A 3500 VICTORIA ST, PITTSBURGH, PA 15261-0001
(702) 280-1024
Mailing address
121 PIPER DR, PITTSBURGH, PA 15234-1013
(720) 280-1024
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60949024
WA
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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