MICHAEL D BLAKE

OMAHA, NE
NPI1871308080
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2025-02-13
Last Update Date2025-02-13
Business Address
MICHAEL D BLAKE
2617 PARKER ST
OMAHA, NE 68111-4429
Phone number: 402-594-7156
Mailing Address
MICHAEL D BLAKE
10909 COTTONWOOD LN
OMAHA, NE 68164-3860
Phone number: 402-964-2848