MR. Blake Vicent Ireland is a student in an organized health care education training program in Northfield, VT. The provider is 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. MR. Blake Vicent Ireland NPI is 1154844504. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
158 HARMON DR
NORTHFIELD, VT
ZIP 05663-000
Phone: (203) 565-1815
The enumeration date for this NPI number is 7/18/2017 and was last updated on 7/18/2017.