LISA BLAKE

SOMERVILLE, MA
NPI1588014732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: MA  RN2274030)
Enumeration Date2016-06-20
Last Update Date2016-06-20
Business Address
-- LISA BLAKE
230 HIGHLAND AVE
SOMERVILLE, MA 02143-1408
Phone number: 617-591-4500
Mailing Address
-- LISA BLAKE
58 SALMAN ST
WEST ROXBURY, MA 02132-5711
Phone number: