SearchWest Virginia225100000X

Jackie Blake

NPI 1225537269 · on the registry since 2018

Practice

Address
1 Community St
Wheeling, WV 26003
Phone
(304) 242-3933
Organisation at this address
Wilson Wellness
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-02-05

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 West Virginia