MR. Ben Blackwood, HS

NPI #1770562423 in San Juan, Puerto Rico

Provider Information

NPI Number: 1770562423
Entity Type: Individual
Name: MR. Ben Blackwood, HS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Technician, Other
Credential: HS
Enumeration Date: Jan 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: COMMANDING OFFICER 5 CALLE LA PUNTILLA
Address 2: USCG BASE SAN JUAN
City: San Juan
State: Puerto Rico
ZIP Code: 00901
Phone: (787) 729-2305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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