Diera Blackwell, LPN
NPI #1851976419 in Walterboro, South Carolina
Provider Information
- NPI Number
- 1851976419
- Entity Type
- Individual
- Name
- Diera Blackwell, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Mar 16, 2021
- Last Updated
- Mar 16, 2021
Practice Location
- Address
- 377 CRYSTAL LN
- City
- Walterboro
- State
- South Carolina
- ZIP Code
- 29488-8972
- Phone
- (843) 599-3737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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