TRACEY BLAKE

COLUMBUS, IN
NPI1174941447
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WL0100X Registered Nurse, Lactation Consultant
(Licence: IN  11136128)
Enumeration Date2014-04-02
Last Update Date2014-04-02
Business Address
-- TRACEY BLAKE RN, IBCLC
1120 N MARR RD
COLUMBUS, IN 47201-5505
Phone number: 812-376-9219
Mailing Address
-- TRACEY BLAKE RN, IBCLC
1120 N MARR RD
COLUMBUS, IN 47201-5505
Phone number: 812-376-9219