Individual
MORGAN BLACKSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
117 W MAIN ST STE 1, REXBURG, ID 83440-1826
(208) 356-0766
(208) 359-9488
Mailing address
117 W MAIN ST STE 1, REXBURG, ID 83440-1826
(208) 356-0766
(208) 359-9488
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA-4757
ID
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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