Individual
LAQUITA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 E 29TH ST, RICHMOND, VA 23224-3537
(804) 618-0862
Mailing address
511 E 29TH ST, RICHMOND, VA 23224-3537
(804) 618-0862
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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