Individual
LAUREL BLACKERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 MIRACLE STRIP PKWY SW UNIT 5C, FORT WALTON BEACH, FL 32548-5259
(850) 585-1507
(850) 400-6645
Mailing address
701 WOODCOCK LN, NEW IBERIA, LA 70560-1466
(850) 585-1507
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/10/2021
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