Thea A Blackwell
Thea A Blackwell is a Student in an Organized Health Care Education/Training Program in Pomona, California. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
309 E 2nd StPomona, CA 91766-1854
Phone: (909) 469-5589
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1275462046 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 18, 2026 |
| Last updated in NPPES | May 18, 2026 |
| Certification date | May 17, 2026 |
| Mailing address | 309 E 2nd St, Pomona, CA 91766-1854 |
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