Whalio Doctors

NPI 1073715652

Latasha Blackmon, CNA

Practitioner Nurse's Aide Burlington, NJ

Practice location

Address
261 Connecticut Dr Suite 5, Burlington, NJ 08016-4177
Phone
(800) 950-6066
Mailing address
410 Pecks Beach Vlg, Ocean City, NJ 08226-3922

Registered specialties

Nurse's Aide Primary
Nursing Service Related Providers Taxonomy 376K00000X Licence NA0006801533 (NJ)

Registry record

NPI
1073715652
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Jun 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.