STEDMOND L BLAKE

NPI: 1902878192 · Individual · Active

Primary Specialty

Licensed Practical Nurse

Practice Location

1060 GAFFNEY RD
COMMANDER,USA-MAEEAC-AK,ATTN:MCUC-MMD-QM
FT WAINWRIGHT, AK 99703-5001 Map ↗
Phone: 907-353-5418
Fax: 907-353-4845

All Specialties & Licenses

  • Licensed Practical Nurse Primary (license: P5585, AK)

NPI Registration

Enumerated: 2006-02-02

Last CMS Update: 2007-07-08