KEAVY NAKIA BLALOCK

TACOMA, WA
NPI1255001376
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2021-09-20
Last Update Date2021-09-20
Business Address
KEAVY NAKIA BLALOCK
2201 S 19TH ST
TACOMA, WA 98405-2962
Phone number: 253-495-5270
Mailing Address
KEAVY NAKIA BLALOCK
2201 S 19TH ST
TACOMA, WA 98405-2962
Phone number: 253-495-5270