Individual
MRS. HEATHER W BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3502 CORBY ST, JACKSONVILLE, FL 32205-5904
(904) 388-4084
Mailing address
3502 CORBY ST, JACKSONVILLE, FL 32205-5904
(904) 388-4084
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
07/09/2007
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