Individual
MELISSA ANN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 JONICAN RD, RACCOON, KY 41557-8902
(304) 733-1094
Mailing address
206 JONICAN RD, RACCOON, KY 41557-8902
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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