AMIE BLACKWOOD

LAKE MARY, FL
NPI1851744056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: FL  PTA23405)
Enumeration Date2016-07-22
Last Update Date2016-07-22
Business Address
-- AMIE BLACKWOOD PTA
781 CREEKWATER TER APT 111
LAKE MARY, FL 32746-6063
Phone number: 407-925-4605
Mailing Address
-- AMIE BLACKWOOD PTA
781 CREEKWATER TER APT 111
LAKE MARY, FL 32746-6063
Phone number: 407-925-4605