Kineta Delisse Blackmon
Kineta Delisse Blackmon is a Homemaker in Fairlawn, Ohio. Licensed in Ohio. Registered with an NPI since 2022.
- Licensed in
- OH
- In the registry since
- 2022
Practice location Address checks out
3800 Rosemont Blvd Apt 113AFairlawn, OH 44333-9249
Phone: (330) 245-9849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X (OH) |
|---|
Record details
| NPI number | 1598408361 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 19, 2022 |
| Last updated in NPPES | April 19, 2022 |
| Certification date | April 19, 2022 |
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