Katie Jacqueline Blake
Katie Jacqueline Blake is a Personal Care Attendant in Palm Bay, Florida. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
494 Gancedo St SWPalm Bay, FL 32908-1270
Phone: (218) 269-1483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1053934430 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 20, 2020 |
| Last updated in NPPES | May 20, 2020 |
| Certification date | May 20, 2020 |
| Mailing address | 494 Gancedo St Sw, Palm Bay, FL 32908-1270 |
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