Individual
AMBER N BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2134 17TH ST, PARKERSBURG, WV 26101-3759
(304) 650-3414
Mailing address
2134 17TH ST, PARKERSBURG, WV 26101-3759
(304) 650-3414
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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