Individual
RENE JEAN BLACKSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRS
Contact information
Practice address
3305 HENNINGER RD APT 204, CLEVELAND, OH 44109-3366
(216) 512-5469
Mailing address
3305 HENNINGER RD APT 204, CLEVELAND, OH 44109-3366
(216) 512-5469
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.003691
OH
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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