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MELISSA BLACKMAN

Personal Care Attendant >> Technician >> Nursing Service Related Providers

Registrant NPI Number: 1144831165

Individual Registrant:
 MELISSA  BLACKMAN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5923 WADESVILLE RD  BELLEVILLE, WV 26133-8368 US
Tel: 304-494-3969  Fax: --

Contact information for business:
5923 WADESVILLE RD  BELLEVILLE, WV 26133-8368 US
Tel: --  Fax: --

Registration Information:
NPI: 1144831165
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3747P1801XNursing Service Related Providers
Technician
Personal Care Attendant

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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