Tai Blake RN

NPI 1285868331 - Registered Nurse - 163W00000X

NPI Details
NPI 1285868331
Gender Female
Enumeration Date 05/05/2009
Last Updated 05/05/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
755 36TH ST SE
GRAND RAPIDS MI, 49548-2319, US
Phone (616) 897-5900
Fax (616) 897-5954
Business Location
6070 IN THE PINES DR SE
KENTWOOD MI, 49548-8503, US
Phone
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Michigan
License Number 4704255955
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According to our database, Ms. Tai Blake RN NPI is 1285868331, taxonomy code is 163W00000X and license number is 4704255955, license state is located at Michigan. Tai Blake RN physically located at 755 36th St Se, Grand Rapids MI, 49548-2319. NPI Number Tai Blake RN has the Individual type.

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1285868331 NPI number is provided on an as is basis without warranty of any kind. 1285868331 is maintained by the National Plan & Provider Enumeration System. The contents of Tai Blake RN are for informational purposes only.