Colleen Blackman's National Provider Identifier (NPI) Details
Colleen Blackman,
NPI: 1356042048
Enumeration Date: 2023-03-10
Last updated: 2024-10-23
Sole Proprietor: YES
Status: active
Postal Address: 8935 LAWLOR ST, OAKLAND, CA
Phone: 510-502-1802
Primary Practice Address: 8935 LAWLOR ST, OAKLAND, CA
Practice's phone: 510-502-1802