Stedmond L Blake, | |
1060 Gaffney Rd, Commander,usa-maeeac-ak,attn:mcuc-mmd-qm, Ft Wainwright, AK 99703-5001 | |
(907) 353-5418 | |
(907) 353-4845 |
Full Name | Stedmond L Blake |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 1060 Gaffney Rd, Ft Wainwright, Alaska |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902878192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | P5585 (Alaska) | Primary |
Mailing Address | Practice Location Address |
---|---|
Stedmond L Blake, 1060 Gaffney Rd, Commander,usa-maeeac-ak,attn:mcuc-mmd-qm, Ft Wainwright, AK 99703-5001 Ph: (907) 353-5418 | Stedmond L Blake, 1060 Gaffney Rd, Commander,usa-maeeac-ak,attn:mcuc-mmd-qm, Ft Wainwright, AK 99703-5001 Ph: (907) 353-5418 |
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› Verified 9 days ago
Wilma June Ison, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd, Commander Usa-meddac-ak, Attn:mcuc-mmd-qm, Ft Wainwright, AK 99703 Phone: 907-353-5418 Fax: 907-353-4845 | |
Mr. Jack Ernest Hendrickson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn; Mcuc-mmd-qm, Ft Wainwright, AK 99703 Phone: 907-353-1207 | |
Mrs. Dawn Lynee Mckendrick, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn:mcuc-mmd-qm, Ft Wainwright, AK 99703 Phone: 907-353-5418 Fax: 907-353-4845 | |
Deniece Lee Wazny, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd, Commander, Usa-meddac-ak,attn:mcuc-mmd-qm, Ft Wainwright, AK 99703 Phone: 907-353-4107 | |
Glenn Parker, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd, Bassett Army Community Hospital, Ft Wainwright, AK 99703 Phone: 907-353-5418 Fax: 907-353-4845 | |
William Bryant, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd, Bassett Army Community Hospital, Ft Wainwright, AK 99703 Phone: 907-353-5418 Fax: 907-353-4845 | |
Ms. Brenda Bonita Webber, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd, Commander, Usa-meddac-ak-mmcuc-mmd-qm, Ft Wainwright, AK 99703 Phone: 907-353-5418 Fax: 907-353-4845 |