BRIAN BLAKE

CHEYENNE, WY
NPI1497565709
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-01-09
Last Update Date2025-01-09
Business Address
BRIAN BLAKE
3304 E I 80 SERVICE RD
CHEYENNE, WY 82009-8781
Phone number: 307-829-7355
Mailing Address
BRIAN BLAKE
2560 BUSINESS PKWY STE A
MINDEN, NV 89423-8961
Phone number: