Individual
SHEANA BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 MARSHALL ST, MANITOWOC, WI 54220-5333
(920) 905-3584
Mailing address
609 MARSHALL ST, MANITOWOC, WI 54220-5333
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
373825
WI
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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