EDDIE JAMES BLAKE

ATHENS, WV
NPI1053091165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2023-07-24
Last Update Date2023-07-24
Business Address
EDDIE JAMES BLAKE Graduate
1000 VERMILLION ST
ATHENS, WV 24712-9027
Phone number: 800-344-6679
Mailing Address
EDDIE JAMES BLAKE Graduate
1000 VERMILLION ST
ATHENS, WV 24712-9027
Phone number: 800-344-6679