Sharone Marie Blackburn, | |
273 E Beverly Blvd, Montebello, CA 90640-3775 | |
(323) 724-5100 | |
Not Available |
Full Name | Sharone Marie Blackburn |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 273 E Beverly Blvd, Montebello, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871061572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 694107 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Sharone Marie Blackburn, 3000 Goffs Falls Rd, Manchester, NH 03103-6109 Ph: (800) 995-2673 | Sharone Marie Blackburn, 273 E Beverly Blvd, Montebello, CA 90640-3775 Ph: (323) 724-5100 |
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