Individual
REGINALD KARL BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5929 WESTGATE BLVD STE A, TACOMA, WA 98406-2567
(253) 503-0226
Mailing address
3800 3RD ST SE, PUYALLUP, WA 98374-1109
(253) 304-7753
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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