Individual
MATTHEW BLACKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11230 VERMILION RD, OBERLIN, OH 44074-9492
(440) 574-3234
Mailing address
11230 VERMILION RD, OBERLIN, OH 44074-9492
(440) 574-3234
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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