Individual
TRINA BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9140 WHITTIER ST APT 1, DETROIT, MI 48224-1846
(586) 209-9385
Mailing address
22019 WOODBURY ST APT 1, CLINTON TOWNSHIP, MI 48035-1766
(586) 209-9385
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
MI
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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