Individual
DENISE BLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2091 PROFESSIONAL DR, FLINT, MI 48532-3657
(810) 732-1652
(810) 732-1735
Mailing address
2091 PROFESSIONAL DR, FLINT, MI 48532-3657
(810) 732-1652
(810) 732-1735
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703059033
MI
Other
Enumeration date
06/10/2013
Last updated
06/13/2013
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