Wilma J. Blackmer
Technician, Attendant Care Provider in Canton, NY. Individual provider (NPI-1).
NPI number1982251740
StatusActive
Last updated in NPPESAug 26, 2019
Details
- NPI
- 1982251740
- Entity type
- Individual (NPI-1)
- Name
- Wilma J. Blackmer
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2019
- Last updated
- Aug 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
1756 Cr 14Canton, NY 13617
Phone 315-528-5555
Mailing address
1756 Cr 14Canton, NY 13617
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