Individual
USHIKIA SHARI BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A
Contact information
Practice address
8735 POOL HILL RD., SIMONTON, TX 77476
(281) 610-8058
(281) 346-0979
Mailing address
P.O. BOX 345, SIMONTON, TX 77476
(281) 610-8058
(281) 346-0979
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA00698086
TX
Other
Enumeration date
12/23/2008
Last updated
12/24/2008
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