Individual
ROXANNE RANAE BLACKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19956 WOODLAND TRL, TRAVERSE CITY, MI 49684-7438
(231) 633-1366
Mailing address
19956 WOODLAND TRL, TRAVERSE CITY, MI 49684-7438
(231) 633-1366
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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