Individual
IRVING J BLAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 PINECREST CIR, BLUFFTON, SC 29910-7935
(843) 263-1053
Mailing address
275 PINECREST CIR, BLUFFTON, SC 29910-7935
(843) 263-1053
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
9742
SC
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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