Individual provider · NPI-1

Tanya Blake

Nurse's Aide · Orlando, FL

NPI number1881061372
StatusActive
Last updated in NPPESMay 8, 2016

Details

NPI
1881061372
Entity type
Individual (NPI-1)
Name
Tanya Blake
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 31, 2015
Last updated
May 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's AideCNA283280FLYes

Practice location

5719 Riordan Way
Orlando, FL 32808-2433

Phone 407-844-1782 · Fax 321-800-6803

Mailing address

5719 Riordan Way
Orlando, FL 32808-2433

Phone 407-844-1782 · Fax 321-800-6803

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