Individual
TRENATTY E. BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
1634 FRANKLIN ST, PORT TOWNSEND, WA 98368-8123
(360) 301-6435
Mailing address
PO BOX 1614, PORT TOWNSEND, WA 98368-0110
(360) 301-6435
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MA000015607
WA
Other
Enumeration date
09/18/2007
Last updated
03/21/2013
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