SearchWashington174H00000X

Diana Blacklock, LMP

NPI 1912225822 · on the registry since 2010

Practice

Address
2426 20th St Se
Puyallup, WA 98374
Phone
(253) 229-4272

Registry record

Primary taxonomy
174H00000X
174H00000X
Sex
Female
Record last updated
2010-05-17

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 Washington