Individual
MRS. DENISE BLACKMON-IMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4319 CANADIAN RIVER DR, SUGAR LAND, TX 77478-5401
(281) 265-8967
(281) 265-8967
Mailing address
4319 CANADIAN RIVER DR, SUGAR LAND, TX 77478-5401
(281) 265-8967
(281) 265-8967
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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