MADELINE BLAKE

Community Health Worker

Active Individual
NPI: 1689341612

Practice Address

4989 N 3RD ST
Laramie, WY 82072

Phone: (307) 745-8997

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1689341612 is the National Provider Identifier for MADELINE BLAKE, a Community Health Worker provider located in Laramie, WY. This NPI was enumerated on August 26, 2021.
MADELINE BLAKE practices at 4989 N 3RD ST, Laramie, WY 82072.

Quick Facts

NPI
1689341612
Type
Individual
Enumerated
Aug 26, 2021
Last Updated
Aug 26, 2021

Nearby Providers