Donna Marie Blake
Donna Marie Blake is a Student in an Organized Health Care Education/Training Program in Bridgeport, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2021
Practice location Address checks out
1635 Central AveBridgeport, CT 06610-2717
Phone: (203) 551-7091
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 68942 (CT) |
|---|
Record details
| NPI number | 1033789508 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 28, 2021 |
| Last updated in NPPES | June 28, 2021 |
| Certification date | June 28, 2021 |
| Mailing address | 1635 Central Ave, Bridgeport, CT 06610-2717 |
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