Mr. BLAKE VICENT IRELAND
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1154844504- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 158 HARMON DR, NORTHFIELD, VT, 056631000
- Phone
- (203) 565-1815
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Primary