MADELINE BLAKE

LARAMIE, WY
NPI1689341612
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-08-26
Last Update Date2021-08-26
Business Address
MADELINE BLAKE
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Mailing Address
MADELINE BLAKE
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997