IRENE BLAKE

LAUREL, MD
NPI1902355803
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0222X Nurse Practitioner Pediatrics, Critical Care
(Licence: DC  RN1009199)
Enumeration Date2016-10-03
Last Update Date2016-10-03
Business Address
IRENE BLAKE
8211 RAMBLING ROSE LN
LAUREL, MD 20724-1964
Phone number: 240-505-2473
Mailing Address
IRENE BLAKE
8211 RAMBLING ROSE LN
LAUREL, MD 20724-1964
Phone number: 240-505-2473
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