Individual
ASHLEY NICOLE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2981 EMORYVILLE RD, ELK GARDEN, WV 26717-2671
(304) 813-0717
(304) 788-6363
Mailing address
2981 EMORYVILLE RD, ELK GARDEN, WV 26717
(304) 813-0717
(304) 788-6363
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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