JILL BLAKE

UNIVERSITY PARK, PA
NPI1407240435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: PA  PN255327L)
Enumeration Date2015-03-27
Last Update Date2015-03-27
Business Address
-- JILL BLAKE LPN
502 STUDENT HEALTH CTR
UNIVERSITY PARK, PA 16802-2129
Phone number: 814-865-6555
Mailing Address
-- JILL BLAKE LPN
502 STUDENT HEALTH CENTER PENN STATE UNIVERSITY
UNIVERSITY PARK, PA 16802
Phone number: 814-865-6555