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Individual

CHIQUITA BLACKMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
116 MARK TWAIN DR APT 28, NEW ORLEANS, LA 70123-2458
(504) 472-7714
Mailing address
116 MARK TWAIN DR APT 28, NEW ORLEANS, LA 70123-2458
(504) 472-7714

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
03/22/2021
Last updated
03/22/2021
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