Individual
CHELSEA BLACKBIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NTP
Contact information
Practice address
100 N PROSPECT AVE, SONORA, TX 76950-2646
(512) 496-3083
Mailing address
PO BOX 381, SONORA, TX 76950-0381
(512) 496-3083
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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