Individual provider · Type 1 NPI

Candance Luchetta Blake, BA

Student in an Organized Health Care Education/Training Program · Center City, MN

NPI number 1770735912 Active

Practice location

15251 Pleasant Valley Rd
Center City, MN 55012-9640

Call (651) 213-4494 Map

Fax (651) 213-4411

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1770735912

Candance Luchetta Blake, BA's National Provider Identifier is 1770735912, issued on Oct 21, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Center City, MN. The record was last updated on Oct 21, 2008.