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Irene Blake
NPI 1902355803 · on the registry since 2016
Practice
- Address
- 8211 Rambling Rose Ln
Laurel, MD 20724 - Phone
- (240) 505-2473
Registry record
- Primary taxonomy
- 363LP0222X
363LP0222X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland