Individual
TONYA SUE BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3675 BATTLEFORD RD, STONEFORT, IL 62987-1342
(618) 964-5378
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-7676
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.322202
IL
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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