Blake, Dominique

Blake, Dominique is an individual health care provider with primary practice located at 514 Lovell Ave Apt 7 , Roseville MN 55113-4654. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Blake, Dominique can be contacted via phone (651) 315-3480.

Contact Information

Primary practice address
514 Lovell Ave Apt 7 Roseville MN 55113-4654
Phone: (651) 315-3480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1215808076
LBN Legal business name Blake, Dominique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2025
Last updated Sep 15th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers