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Blake Haddon
Student in an Organized Health Care Education/Training Program in Stroudsburg, Pennsylvania
NPI 1417406331

Blake Haddon is a Student in an Organized Health Care Education/Training Program based in Stroudsburg, PA. Blake Haddon practices in Stroudsburg, PA. The NPI Number for Blake Haddon is 1417406331 and holds a License No. 75-2575595 (Pennsylvania).

The current practice location address for Blake Haddon is 113 Larsen Lane, Stroudsburg, PA and can be reached out via phone at 570-801-8240.

Location: 113 Larsen Lane, Stroudsburg, PA, 18360-0033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417406331
Provider Name
Blake Haddon
Credential
Provider Entity Type
Individual
Gender
Male
Address
113 Larsen Lane, Stroudsburg, PA, 18360-0033
Phone Number
570-801-8240
Fax Number
Provider Enumeration Date
10/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
113 Larsen Lane
City
Stroudsburg
State
Pennsylvania
Zip
18360-0113
Phone Number
570-801-8240
Fax Number
person
Provider Business Mailing Address Details
Address
113 Larsen Lane
City
Stroudsburg
State
Pennsylvania
Zip
18360-0113
Phone Number
570-801-8240
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
75-2575595 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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