LEAH JANINE BLAKE

NAMPA, ID
NPI1558757724
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: ID  OC-0451)
Additional Taxonomies208M00000X Hospitalist
(Licence: MT  100092)
208M00000X Hospitalist
(Licence: CO  CDRH.0062081)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-04-14
Last Update Date2024-05-08
Business Address
LEAH JANINE BLAKE
9850 W ST LUKES DR
NAMPA, ID 83687-7912
Phone number: 208-205-7282
Mailing Address
LEAH JANINE BLAKE
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: