LANISHA BLOCKMON

CHICAGO, IL
NPI1710482542
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Enumeration Date2018-03-25
Last Update Date2023-11-13
Business Address
MS. LANISHA BLOCKMON
8214 S EVANS AVE
CHICAGO, IL 60619-5306
Phone number: 773-853-6694
Mailing Address
MS. LANISHA BLOCKMON
8214 S EVANS AVE
CHICAGO, IL 60619-5306
Phone number: 773-853-6694
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