Debra Blackwell

NPI #1992353817 in Avon, Indiana

Provider Information

NPI Number
1992353817
Entity Type
Individual
Name
Debra Blackwell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Sep 4, 2019
Last Updated
Sep 4, 2019

Practice Location

Address
8198 MONTAGE AVE
Address 2
APT 104
City
Avon
State
Indiana
ZIP Code
46123
Phone
(708) 202-8387

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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