CLAUDETTE L BLAKE

MOUNTAINSIDE, NJ
NPI1841804960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ  26NJ01050200)
Enumeration Date2020-09-04
Last Update Date2024-02-20
Business Address
Mrs. CLAUDETTE L BLAKE APRN
1199 ROUTE 22
MOUNTAINSIDE, NJ 07092-2807
Phone number: 908-228-5100
Mailing Address
Mrs. CLAUDETTE L BLAKE APRN
1199 ROUTE 22
MOUNTAINSIDE, NJ 07092-2807
Phone number: 908-228-5100