JACQUELYN BLAKE, LPN

LPN

Licensed Practical Nurse

NPI: 1770058299Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

055560(MO)

Contact & Hours

Address: 5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112
Phone: (314) 367-5820

Quick Facts

NPI: 1770058299
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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