BLAKE JAMES KISSANE

CORPUS CHRISTI, TX
NPI1104613363
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-22
Last Update Date2025-04-22
Business Address
BLAKE JAMES KISSANE DO
600 ELIZABETH ST
CORPUS CHRISTI, TX 78404-2235
Phone number: 361-881-3000
Mailing Address
BLAKE JAMES KISSANE DO
600 ELIZABETH ST
CORPUS CHRISTI, TX 78404-2235
Phone number: