Individual
KARA M BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12 PINE GROVE CIRCLE, MASHPEE, MA 02649
(508) 728-1854
Mailing address
PO BOX 254, EAST SANDWICH, MA 02537-0254
(508) 728-1854
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN62440
MA
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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