Clarisa Renee Blackwell, LMBT, MMP
NPI #1922596378 in Wilson, North Carolina
Provider Information
- NPI Number
- 1922596378
- Entity Type
- Individual
- Name
- Clarisa Renee Blackwell, LMBT, MMP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- LMBT, MMP
- Enumeration Date
- May 1, 2018
- Last Updated
- May 1, 2018
Practice Location
- Address
- 2223 NASH ST NW
- City
- Wilson
- State
- North Carolina
- ZIP Code
- 27896-1735
- Phone
- (919) 827-7461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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