DIANA LEE BLACKLOCK

PUYALLUP, WA
NPI1912225822
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174H00000X Health Educator
Enumeration Date2010-05-17
Last Update Date2010-05-17
Business Address
-- DIANA LEE BLACKLOCK LMP
2426 20TH ST SE
PUYALLUP, WA 98374-1475
Phone number: 253-229-4272
Mailing Address
-- DIANA LEE BLACKLOCK LMP
2426 20TH ST SE
PUYALLUP, WA 98374-1475
Phone number: 253-229-4272
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