Individual
ISABELA BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4055 VALLEY VIEW LN, DALLAS, TX 75244-5074
(855) 984-5121
Mailing address
PO BOX 297, MILFORD, CT 06460-0297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6702
CT
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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