ANGIE RENA BLACKETT

HERRIMAN, UT
NPI1033372081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
Enumeration Date2008-07-09
Last Update Date2023-02-04
Business Address
Mrs. ANGIE RENA BLACKETT RN, CPM, LDEM
14443 S CHROME RD
HERRIMAN, UT 84096-1204
Phone number: 801-200-1873
Mailing Address
Mrs. ANGIE RENA BLACKETT RN, CPM, LDEM
14443 S CHROME RD
HERRIMAN, UT 84096-1204
Phone number: 801-200-1873
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