CARL BLACKBURN III

Technician - Personal Care Attendant

Active Individual
NPI: 1912698887

Practice Address

1622 RAVINIA RD
Charleston, WV 25314

Phone: (304) 356-0106

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X Yes -

Frequently Asked Questions

NPI 1912698887 is the National Provider Identifier for CARL BLACKBURN III, a Technician - Personal Care Attendant provider located in Charleston, WV. This NPI was enumerated on May 19, 2023.
CARL BLACKBURN III practices at 1622 RAVINIA RD, Charleston, WV 25314.

Quick Facts

NPI
1912698887
Type
Individual
Enumerated
May 19, 2023
Last Updated
May 24, 2023

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