| NPI | 1083298194 |
|---|---|
| Doing Business As | BLAKE'S MOBILE LABS |
| Entity Type | Organization |
| Authorized Contact | NICOLE BLAKE CEO 919-400-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |