Individual
ZONDRA BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
12341 VERDANT CT, CHARLOTTE, NC 28273-6005
(704) 905-4818
Mailing address
12341 VERDANT CT, CHARLOTTE, NC 28273-6005
(704) 905-4818
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
09696
NC
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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