Individual
FRANCILLYA BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 W GALENA ST, MILWAUKEE, WI 53205-1507
(414) 301-0502
Mailing address
1811 W GALENA ST, MILWAUKEE, WI 53205-1507
(414) 301-0502
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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