Wolleta Blackwood
Wolleta Blackwood is a Registered Nurse in Elmont, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
1944 Jackson AveElmont, NY 11003-4200
Phone: (516) 424-0169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 610154 (NY) |
|---|
Record details
| NPI number | 1356196752 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 19, 2024 |
| Last updated in NPPES | April 21, 2024 |
| Certification date | April 21, 2024 |
| Mailing address | 1944 Jackson Ave, Elmont, NY 11003-4200 |
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