Shantell Blackman, RMA

NPI #1083467393 in Muskegon, Michigan

Provider Information

NPI Number: 1083467393
Entity Type: Individual
Name: Shantell Blackman, RMA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: RMA
Enumeration Date: Apr 8, 2024
Last Updated: Apr 8, 2024

Practice Location

Address: 376 E APPLE AVE
City: Muskegon
State: Michigan
ZIP Code: 49442-3466
Phone: (231) 724-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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