IndividualActive
Dominique Blake
NPI 1215808076 · Home Health Aide · Roseville, MN
Provider details
- NPI number
- 1215808076
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
514 Lovell Ave Apt 7
Roseville, MN 55113-4654
Phone: (651) 315-3480
Approximate (ZIP-level) locationGet directions
Mailing address
514 Lovell Ave Apt 7
Saint Paul, MN 55113-4654
Registry dates
- Enumerated
- 2025-09-15
- Last updated
- 2025-09-15
- Certified
- 2025-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.