Individual
DESTINEE D BLACKWELL-CLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8978 UNITED LN STE 102, ATHENS, OH 45701-3668
(740) 274-4246
Mailing address
PO BOX 188, CHILLICOTHE, OH 45601-0188
(740) 773-4366
(740) 773-4750
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.177387.MEDS-IV
OH
Other
Enumeration date
07/20/2021
Last updated
11/19/2022
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