Charlotte Louisa Blackburn

NPI #1851811533 in Mukwonago, Wisconsin

Provider Information

NPI Number
1851811533
Entity Type
Individual
Name
Charlotte Louisa Blackburn
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 22, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
W307S7940 APPLEWOOD CT
ZIP Code
53149-8833
Phone
(414) 828-1259

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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