STEDMOND BLAKE
Licensed Practical Nurse
Active
Individual
NPI: 1902878192
Practice Address
1060 GAFFNEY RDCOMMANDER,USA-MAEEAC-AK,ATTN:MCUC-MMD-QM
Ft Wainwright, AK 99703
Phone: (907) 353-5418
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | P5585 (AK) |
Frequently Asked Questions
NPI 1902878192 is the National Provider Identifier for STEDMOND BLAKE, a Licensed Practical Nurse provider located in Ft Wainwright, AK. This NPI was enumerated on February 2, 2006.
STEDMOND BLAKE practices at 1060 GAFFNEY RD, COMMANDER,USA-MAEEAC-AK,ATTN:MCUC-MMD-QM, Ft Wainwright, AK 99703.
Quick Facts
- NPI
- 1902878192
- Type
- Individual
- Enumerated
- Feb 2, 2006
- Last Updated
- Jul 8, 2007
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