NPI 1215808076
Dominique Blake
Practice location
- Address
- 514 Lovell Ave APT 7, Roseville, MN 55113-4654
- Phone
- (651) 315-3480
- Mailing address
- 514 Lovell Ave APT 7, Saint Paul, MN 55113-4654
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1215808076
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Sep 2025
- Record last updated
- 15 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.