Individual
MS. VALERIE N BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1201 1ST ST S, WINTER HAVEN, FL 33880-3904
(863) 294-7056
Mailing address
1201 FIRST STREET S, WINTER HAVEN, FL 33880
(863) 294-7056
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9238389
FL
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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