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Angela Blackman

NPI 1528652427 · on the registry since 2021 · sole proprietor

Practice

Address
6017 Washington Ave
Ocean Springs, MS 39564
Phone
(228) 334-5035
Clinicians at this address
12

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi