MATTHEW BLAKE

CHILLICOTHE, OH
NPI1154717080
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-04-07
Last Update Date2015-04-07
Business Address
-- MATTHEW BLAKE
272 HOSPITAL RD
CHILLICOTHE, OH 45601-9031
Phone number: 740-779-7500
Mailing Address
-- MATTHEW BLAKE
7199 CHULA VISTA LN
BLOOMFIELD, MI 48301-3913
Phone number: 248-229-1494