NPI 1134040199

Nataiya Blackmon

Practitioner Meals Provider Rolla, MO

Practice location

Address: 1106 Laguille CT, Rolla, MO 65401-3440
Phone: (948) 204-0694

Registered specialties

Meals Provider Primary

Other Service Providers Taxonomy 174200000X

Other Meals providers in Missouri →

Registry record

NPI: 1134040199
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2026
Record last updated: 23 Jul 2026

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.