Individual
MS. KATRIENA LASHAUN BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
3330 LANCASTER ROAD, DALLAS, DALLAS, TX 75216-4545
(214) 371-6639
(214) 372-6199
Mailing address
1743 EAGLE RIVER TRL, LANCASTER, TX 75146-4922
(214) 371-6639
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
196120
TX
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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