Individual
BRIANNA M BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MONARCH ST LOT 27, DANIELS, WV 25832-9735
(304) 640-5252
Mailing address
112 MONARCH ST LOT 27, DANIELS, WV 25832-9735
(304) 640-5252
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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