Individual
RAEVEN BLACKMAN-SHIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1280 TERMINAL WAY, SUITE 3, RENO, NV 89502-3219
(775) 337-9359
Mailing address
755 STOKER AVE, RENO, NV 89503-4117
(775) 772-3544
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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