Individual
EUSHEAKIA BLAKENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 W ROOSEVELT BLVD, MONROE, NC 28110-2818
(704) 296-6200
(704) 296-4669
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
90565
SC
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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