Individual
CHLOE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 HALL VALLEY DR APT 3, BRIDGEPORT, WV 26330-9608
(304) 541-3618
Mailing address
1003 HALL VALLEY DR APT 3, BRIDGEPORT, WV 26330-9608
(304) 541-3618
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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