Individual
WILMA J. BLACKMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1756 CR 14, CANTON, NY 13617
(315) 528-5555
Mailing address
1756 CR 14, CANTON, NY 13617
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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