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Arlene Blake

Licensed Practical Nurse in Huntsville, AL. Individual provider (NPI-1).

NPI number1679144166
StatusActive
Last updated in NPPESJul 6, 2021

Details

NPI
1679144166
Entity type
Individual (NPI-1)
Name
Arlene Blake
Sex
Female
Sole proprietor
No
Enumeration date
Jul 6, 2021
Certification date
Jul 6, 2021
Last updated
Jul 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse2-046754ALYes

Practice location

4040 Memorial Pkwy Sw
Huntsville, AL 35802-4364

Phone 256-533-1970

Mailing address

4040 Memorial Pkwy Sw
Huntsville, AL 35802-4364

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