Katherine Anne Blake
Katherine Anne Blake is a Student in an Organized Health Care Education/Training Program in Dallas, Georgia. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
393 Valor Ridge DrDallas, GA 30132-2382
Phone: (404) 542-8138
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1205691763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 14, 2024 |
| Last updated in NPPES | February 14, 2024 |
| Certification date | February 14, 2024 |
| Mailing address | 393 Valor Ridge Dr, Dallas, GA 30132-2382 |
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