NPI 1407607476

Sandra Lee Blackwell

Practitioner Chore Provider Kentwood, MI

Practice location

Address: 4728 Wolf Run Ave SE, Kentwood, MI 49548-7570
Phone: (616) 734-3204

Registered specialties

Chore Provider Primary

Nursing Service Related Providers Taxonomy 372500000X

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Registry record

NPI: 1407607476
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2024
Record last updated: 28 Mar 2024

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.