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Angela Velmarie Blake

Registered Nurse in Mount Vernon, NY. Individual provider (NPI-1).

NPI number1710457635
StatusActive
Last updated in NPPESDec 4, 2018

Details

NPI
1710457635
Entity type
Individual (NPI-1)
Name
Angela Velmarie Blake
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 4, 2018
Last updated
Dec 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse453733NYYes

Practice location

180 Pearsall Dr
Mount Vernon, NY 10552-3945

Phone 347-276-4146

Mailing address

180 Pearsall Dr
Mount Vernon, NY 10552-3945

Phone 347-276-4146

Other practice locations

180 Pearsall
Mount Vernon, NY 10552

Phone 347-276-4146

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