Individual
CARRIE VALENTINE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
1315 S SAINT FRANCIS DR, SANTA FE, NM 87505-4035
(505) 780-5030
Mailing address
1315 S SAINT FRANCIS DR, SANTA FE, NM 87505-4035
(505) 780-5030
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
20001R
NM
176B00000X
Midwife
Primary
27
ID
176B00000X
Midwife
97
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11872716
CAQH
—
Enumeration date
10/02/2007
Last updated
03/11/2021
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