Individual
EDDIE BLACKMON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
25820 NORMANDIE AVE, HARBOR CITY, CA 90710
(310) 325-5111
Mailing address
7309 PETROL ST APT 11, PARAMOUNT, CA 90723-3399
(424) 381-3626
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
41213
CA
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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