AMY JOSEPHINE BLAKE

DETROIT, MI
NPI1467062950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704322193)
Enumeration Date2020-08-09
Last Update Date2023-08-30
Business Address
Mrs. AMY JOSEPHINE BLAKE NP-C
4100 JOHN R ST
DETROIT, MI 48201-2013
Phone number: 800-527-6266
Mailing Address
Mrs. AMY JOSEPHINE BLAKE NP-C
1210 JUNCTION ST
PLYMOUTH, MI 48170-1134
Phone number: 248-229-2893