Miranda Rene Blackbourn
Health Educator in Muskegon, MI. Individual provider (NPI-1).
NPI number1841920352
StatusActive
Last updated in NPPESJun 16, 2022
Details
- NPI
- 1841920352
- Entity type
- Individual (NPI-1)
- Name
- Miranda Rene Blackbourn
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 16, 2022
- Certification date
- Jun 16, 2022
- Last updated
- Jun 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174H00000X | Health Educator | – | – | Yes |
Practice location
1115 3rd StMuskegon, MI 49441-2170
Phone 231-722-9622
Mailing address
1103 Bernard St Apt 732Denton, TX 76201-7194
Phone 713-494-9586
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All 40 Health Educator providers in Muskegon · All 3,241 providers in Muskegon
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