PENNY BLAKE

MILTON, WV
NPI1841849981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2019-09-11
Last Update Date2019-09-11
Business Address
PENNY BLAKE
248 WOODMIRE DRIVE
MILTON, WV 25541
Phone number: 304-429-6741
Mailing Address
PENNY BLAKE
248 WOODMIRE DRIVE
MILTON, WV 25541
Phone number: 304-429-6741