Blake Vicent Ireland Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · Northfield, VT

NPI

1154844504

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

Sex

Male

Sole proprietor

No

Enumerated

2017-07-18

Last updated

2017-07-18