Individual
ANGELA VELMARIE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 PEARSALL DR, MOUNT VERNON, NY 10552-3945
(347) 276-4146
Mailing address
180 PEARSALL DR, MOUNT VERNON, NY 10552-3945
(347) 276-4146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
453733
NY
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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