Individual
MR. HERBERT ALLEN BLACKWELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
3630 GEORGE WASHINGTON HWY, SUITE A, YORKTOWN, VA 23693-2360
(757) 725-0617
Mailing address
108 JEFFERYS DR, NEWPORT NEWS, VA 23601-3022
(757) 725-0617
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019010331
VA
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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