BLAKE MCDONALD

CALDWELL, ID
NPI1396379475
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  63996)
Enumeration Date2020-02-27
Last Update Date2020-04-21
Business Address
BLAKE MCDONALD PMHNP
1906 FAIRVIEW AVE STE 220
CALDWELL, ID 83605-5432
Phone number: 208-795-5072
Mailing Address
BLAKE MCDONALD PMHNP
PO BOX 277976
ATLANTA, GA 30384-7976
Phone number:
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