STEDMOND L BLAKE

FT WAINWRIGHT, AK
NPI1902878192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AK  p5585)
Enumeration Date2006-02-02
Last Update Date2007-07-08
Business Address
-- STEDMOND L BLAKE
1060 GAFFNEY RD COMMANDER,USA-MAEEAC-AK,ATTN:MCUC-MMD-QM
FT WAINWRIGHT, AK 99703-5001
Phone number: 907-353-5418
Mailing Address
-- STEDMOND L BLAKE
1060 GAFFNEY RD COMMANDER,USA-MAEEAC-AK,ATTN:MCUC-MMD-QM
FT WAINWRIGHT, AK 99703-5001
Phone number: 907-353-5418