DONNA MARIE BLAKE

BRIDGEPORT, CT
NPI1033789508
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT  68942)
Enumeration Date2021-06-28
Last Update Date2021-06-28
Business Address
DONNA MARIE BLAKE
1635 CENTRAL AVE
BRIDGEPORT, CT 06610-2717
Phone number: 203-551-7091
Mailing Address
DONNA MARIE BLAKE
1635 CENTRAL AVE
BRIDGEPORT, CT 06610-2717
Phone number: 203-551-7091
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