Individual
KENNEA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1528 E ST SE, WASHINGTON, DC 20003-2443
(202) 520-4806
Mailing address
1528 E ST SE, WASHINGTON, DC 20003-2443
(202) 520-4806
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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