Diana Lee Blacklock, LMP

NPI #1912225822 in Puyallup, Washington

Provider Information

NPI Number: 1912225822
Entity Type: Individual
Name: Diana Lee Blacklock, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Health Educator
Credential: LMP
Enumeration Date: May 17, 2010
Last Updated: May 17, 2010

Practice Location

Address: 2426 20TH ST SE
City: Puyallup
State: Washington
ZIP Code: 98374-1475
Phone: (253) 229-4272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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