MS. Latisha Blackwell

NPI #1871850941 in River Rouge, Michigan

Provider Information

NPI Number: 1871850941
Entity Type: Individual
Name: MS. Latisha Blackwell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician - Attendant Care Provider
Enumeration Date: Apr 13, 2012
Last Updated: Jul 14, 2023

Practice Location

Address: 58 HILL ST
City: River Rouge
State: Michigan
ZIP Code: 48218-1537
Phone: (313) 138-2820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X	Primary

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