person
Lasonjia Denise Blackmon
Driver in Little Rock, Arkansas
NPI 1386205359

Lasonjia Denise Blackmon is a Driver based in Little Rock, AR. Lasonjia Denise Blackmon practices in Little Rock, AR. The NPI Number for Lasonjia Denise Blackmon is 1386205359 and holds a License No. (Arkansas).

The current practice location address for Lasonjia Denise Blackmon is 5202 Mulberry Pl, Little Rock, AR and can be reached out via phone at 501-772-6073. You can also correspond with Lasonjia Denise Blackmon through the mailing address at 5202 MULBERRY PL, LITTLE ROCK, AR - 72206-4913 (mailing address contact number: 501-240-8386).

Location: 5202 Mulberry Pl, Little Rock, AR, 72206-4913
person
Provider Profile Details
NPI Number
1386205359
Provider Name
Lasonjia Denise Blackmon
Credential
Provider Entity Type
Individual
Gender
Female
Address
5202 Mulberry Pl, Little Rock, AR, 72206-4913
Phone Number
501-772-6073
Fax Number
Provider Enumeration Date
06/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5202 Mulberry Pl
City
State
Zip
72206-4913
Phone Number
501-772-6073
Fax Number
person
Provider Business Mailing Address Details
Address
5202 Mulberry Pl
City
State
Zip
72206-4913
Phone Number
501-772-6073
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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