Latisha Ann Blackmon

NPI 1134249279 - Counselor - 101YA0400X

NPI Details
NPI 1134249279
Gender Female
Enumeration Date 03/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4032 E CLINTON AVE
FRESNO CA, 93703-2519, US
Phone (559) 265-4800
Fax (559) 265-4823
Business Location
4032 E CLINTON AVE
FRESNO CA, 93703-2519, US
Phone (559) 477-0289
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Mrs. Latisha Ann Blackmon NPI is 1134249279, taxonomy code is 101YA0400X Latisha Ann Blackmon physically located at 4032 E Clinton Ave, Fresno CA, 93703-2519. NPI Number Latisha Ann Blackmon has the Individual type.

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1134249279 NPI number is provided on an as is basis without warranty of any kind. 1134249279 is maintained by the National Plan & Provider Enumeration System. The contents of Latisha Ann Blackmon are for informational purposes only.