JUDITH ELISE BLAKE

DAPHNE, AL
NPI1942749965
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: AL  PA.1207)
Enumeration Date2017-02-23
Last Update Date2023-10-16
Business Address
JUDITH ELISE BLAKE PA-C
1505 DAPHNE AVE
DAPHNE, AL 36526-4298
Phone number: 251-625-2663
Mailing Address
JUDITH ELISE BLAKE PA-C
1505 DAPHNE AVE
DAPHNE, AL 36526-4298
Phone number: 251-625-2663
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