Individual
DR. BLAKE ASHLEY KOVNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
117 REYNOLDA VLG STE B, WINSTON SALEM, NC 27106-5148
(336) 724-4452
Mailing address
117 REYNOLDA VLG STE B, WINSTON SALEM, NC 27106-5148
(336) 724-4452
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60932107
WA
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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