DESMOND EUGENE BLAKE

HOUSTON, TX
NPI1306360177
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
Enumeration Date2017-08-02
Last Update Date2017-08-07
Business Address
Mr. DESMOND EUGENE BLAKE
3201 FONDREN RD
HOUSTON, TX 77063
Phone number: 832-594-5758
Mailing Address
Mr. DESMOND EUGENE BLAKE
3201 FONDREN RD
HOUSTON, TX 77063
Phone number: