KHASHANA A BLAKE

WINSTON SALEM, NC
NPI1356543490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  2009-01511)
Enumeration Date2007-06-01
Last Update Date2019-10-15
Business Address
Dr. KHASHANA A BLAKE MD
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106
Phone number: 336-251-1114
Mailing Address
Dr. KHASHANA A BLAKE MD
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106-3410
Phone number: 336-251-1114