Individual provider · Type 1 NPI

Donna Marie Blake

Student in an Organized Health Care Education/Training Program · Bridgeport, CT

NPI number 1033789508 Active

Practice location

1635 Central Ave
Bridgeport, CT 06610-2717

Call (203) 551-7091 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X68942 (CT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033789508

Donna Marie Blake's National Provider Identifier is 1033789508, issued on Jun 28, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgeport, CT. The record was last updated on Jun 28, 2021.