Individual
TANYA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5719 RIORDAN WAY, ORLANDO, FL 32808-2433
(407) 844-1782
(321) 800-6803
Mailing address
5719 RIORDAN WAY, ORLANDO, FL 32808-2433
(407) 844-1782
(321) 800-6803
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA283280
FL
Other
Enumeration date
08/31/2015
Last updated
05/08/2016
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