Blake, Wanda

Blake, Wanda is an sole proprietor health care provider with primary practice located at 4300 Rosemeade Pkwy Apt 812 , Dallas TX 75287-2921. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / General Care, which is considered as her primary health care specialty. Blake, Wanda can be contacted via phone (214) 283-0892.

Contact Information

Primary practice address
4300 Rosemeade Pkwy Apt 812 Dallas TX 75287-2921
Phone: (214) 283-0892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / General Care 2278G1100X 62660 Texas

Profile Details

NPI number 1962888297
LBN Legal business name Blake, Wanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2015
Last updated Aug 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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