BLAKE ELIZABETH VESSA

BASKING RIDGE, NJ
NPI1851851729
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: NJ  25MA11750900)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-25
Last Update Date2023-06-11
Business Address
BLAKE ELIZABETH VESSA
140 ALLEN RD
BASKING RIDGE, NJ 07920-2976
Phone number: 908-616-1383
Mailing Address
BLAKE ELIZABETH VESSA
140 ALLEN RD
BASKING RIDGE, NJ 07920-2976
Phone number: 908-616-1383