LASONJIA BLACKMON

Driver

Active Individual
NPI: 1386205359

Practice Address

5202 MULBERRY PL
Little Rock, AR 72206

Phone: (501) 772-6073

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1386205359 is the National Provider Identifier for LASONJIA BLACKMON, a Driver provider located in Little Rock, AR. This NPI was enumerated on June 21, 2019.
LASONJIA BLACKMON practices at 5202 MULBERRY PL, Little Rock, AR 72206.

Quick Facts

NPI
1386205359
Type
Individual
Enumerated
Jun 21, 2019
Last Updated
Jun 21, 2019

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