DENNIS WAYNE BLAKE

MOUNDSVILLE, WV
NPI1184213407
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2021-01-12
Last Update Date2021-01-12
Business Address
DENNIS WAYNE BLAKE
87 SWIERKOS DR
MOUNDSVILLE, WV 26041-4209
Phone number: 304-843-0910
Mailing Address
DENNIS WAYNE BLAKE
285 GOOSEMAN LN
MOUNDSVILLE, WV 26041-2363
Phone number: 304-843-0910
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