Individual
BRANDI N BLACKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 ALLENDALE DR, SAINT HELENS, OR 97051-1106
(971) 997-4414
Mailing address
130 ALLENDALE DR, SAINT HELENS, OR 97051-1106
(971) 997-4414
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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