Stasha Leigh Blackwell, LVN
NPI #1114783818 in Perris, California
Provider Information
- NPI Number
- 1114783818
- Entity Type
- Individual
- Name
- Stasha Leigh Blackwell, LVN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN
- Enumeration Date
- Feb 21, 2024
- Last Updated
- Feb 21, 2024
Practice Location
- Address
- 2560 N PERRIS BLVD STE N1
- City
- Perris
- State
- California
- ZIP Code
- 92571-3251
- Phone
- (951) 940-6755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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