DESIREE J.E. BLAKE

CANTON, OH
NPI1679955462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: OH  COA17863NM)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: OH  APRNCNP020755)
367A00000X Advanced Practice Midwife
(Licence: PA  MW010644)
163W00000X Registered Nurse
(Licence: OH  RN365269)
Enumeration Date2015-06-29
Last Update Date2023-08-11
Business Address
Ms. DESIREE J.E. BLAKE CNM
4151 HOLIDAY ST NW
CANTON, OH 44718-2531
Phone number: 330-492-8001
Mailing Address
Ms. DESIREE J.E. BLAKE CNM
4151 HOLIDAY ST NW
CANTON, OH 44718-2531
Phone number: 330-492-8001
Similar providers in Canton, OH