SHOMONIQUE BLAKE

SOUTH CHARLESTON, WV
NPI1639986797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-12-12
Last Update Date2024-12-12
Business Address
SHOMONIQUE BLAKE
325 4TH AVE STE 2
SOUTH CHARLESTON, WV 25303-1266
Phone number: 304-744-5085
Mailing Address
SHOMONIQUE BLAKE
325 4TH AVE STE 2
SOUTH CHARLESTON, WV 25303-1266
Phone number: 304-744-5085
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