KINETA DELISSE BLACKMON

FAIRLAWN, OH
NPI1598408361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Enumeration Date2022-04-19
Last Update Date2022-04-19
Business Address
KINETA DELISSE BLACKMON
3800 ROSEMONT BLVD APT 113A
FAIRLAWN, OH 44333-9249
Phone number: 330-245-9849
Mailing Address
KINETA DELISSE BLACKMON
PO BOX 4104
CUYAHOGA FALLS, OH 44223-4104
Phone number: 330-245-9849