Donna Mae Blackburn
NPI #1295334068 in Shanks, West Virginia
Provider Information
- NPI Number
- 1295334068
- Entity Type
- Individual
- Name
- Donna Mae Blackburn
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Oct 22, 2020
- Last Updated
- Oct 22, 2020
Practice Location
- Address
- 60 CAMP RUN DR
- City
- Shanks
- State
- West Virginia
- ZIP Code
- 26761-9044
- Phone
- (304) 359-8822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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