JACKLENE NICOLE BLAKE

HUNTINGTON, WV
NPI1942800339
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-10-27
Last Update Date2020-10-27
Business Address
JACKLENE NICOLE BLAKE
1914 WASHINGTON AVE
HUNTINGTON, WV 25704-1443
Phone number: 304-360-0100
Mailing Address
JACKLENE NICOLE BLAKE
1914 WASHINGTON AVE
HUNTINGTON, WV 25704-1443
Phone number: 304-360-0100
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