Individual
MRS. CYNTHIA SALMON BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4020 WAKE FOREST RD, SUITE 201, RALEIGH, NC 27609-6866
(919) 571-6465
Mailing address
6109 HOPE LN, FUQUAY VARINA, NC 27526-7202
(919) 422-8485
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
46056
NC
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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