BLAKE ELIZABETH BROOKS

PROVIDENCE, RI
NPI1407340888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LP04588)
Enumeration Date2018-06-19
Last Update Date2020-12-09
Business Address
BLAKE ELIZABETH BROOKS MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-7959
Mailing Address
BLAKE ELIZABETH BROOKS MD
593 EDDY ST DEPT OF
PROVIDENCE, RI 02903-4923
Phone number: 401-444-7959
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