ROBERT BLAKE JR.

Licensed Practical Nurse

Active Individual
NPI: 1285029389

Practice Address

11242 MILLS MILLS RD
Fillmore, NY 14735

Phone: (214) 223-1567

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 251326-1 (NY)
Custodial Care Facility - Adult Care Home 311ZA0620X No 251326-1 (NY)

Frequently Asked Questions

NPI 1285029389 is the National Provider Identifier for ROBERT BLAKE JR., a Licensed Practical Nurse provider located in Fillmore, NY. This NPI was enumerated on April 6, 2015.
ROBERT BLAKE JR. practices at 11242 MILLS MILLS RD, Fillmore, NY 14735.

Quick Facts

NPI
1285029389
Type
Individual
Enumerated
Apr 6, 2015
Last Updated
Apr 6, 2015

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