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Search › Connecticut › 390200000X

Donna Blake

NPI 1033789508 · on the registry since 2021 · sole proprietor

Practice

Address
1635 Central Ave
Bridgeport, CT 06610
Phone
(203) 551-7091
Organisation at this address
State Of Connecticut
Inferred from a shared address, not stated in the registry.
Clinicians at this address
79

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-28

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 Connecticut