Individual
MRS. JESSICA HAMNER BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
447 W LONGLEAF DR APT 1105, AUBURN, AL 36832-6679
(706) 616-7889
Mailing address
447 W LONGLEAF DR APT 1105, AUBURN, AL 36832-6679
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10756
AL
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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