Individual
DR. MICHELLE ANTONETTE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 7TH AVE S, BIRMINGHAM, AL 35233-2005
(205) 934-3387
Mailing address
1919 7TH AVE S, BIRMINGHAM, AL 35233-2005
(205) 934-3387
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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