BLAKE HADDON

STROUDSBURG, PA
NPI1417406331
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  75-2575595)
Enumeration Date2016-10-04
Last Update Date2016-10-04
Business Address
-- BLAKE HADDON
113 LARSEN LANE
STROUDSBURG, PA 18360-0113
Phone number: 570-801-8240
Mailing Address
-- BLAKE HADDON
PO BOX 33
STROUDSBURG, PA 18360-0033
Phone number: 570-801-8240