EBONY BLAKE

RICHMOND, CA
NPI1821329376
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2010-01-22
Last Update Date2023-05-16
Business Address
EBONY BLAKE
84 BROADWAY
RICHMOND, CA 94804-1910
Phone number: 510-231-7812
Mailing Address
EBONY BLAKE
84 BROADWAY
RICHMOND, CA 94804-1910
Phone number: 510-231-7812