Individual
MS. ANGELA L. BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A.
Contact information
Practice address
4653 LEE ROAD 379, SALEM, AL 36874-3607
(334) 291-7629
(334) 297-8711
Mailing address
4653 LEE ROAD 379, SALEM, AL 36874-3607
(334) 291-7629
(334) 297-8711
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0000056958
GA
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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