RANDY JOSEPH BLAKER

OWOSSO, MI
NPI1912480823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2018-09-07
Last Update Date2018-09-07
Business Address
RANDY JOSEPH BLAKER
1634 LYNN ST
OWOSSO, MI 48867-3342
Phone number: 989-627-7242
Mailing Address
RANDY JOSEPH BLAKER
1634 LYNN ST
OWOSSO, MI 48867-3342
Phone number: