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Connie M Blackmore, RN
General Practice Registered Nurse in Aptos, California
NPI 1548469588

Connie M Blackmore is a General Practice Registered Nurse based in Soquel, CA and is specialized in General Practice. Connie M Blackmore practices in Aptos, CA and has the professional credentials of RN. The NPI Number for Connie M Blackmore is 1548469588 and holds a License No. 513345 (California).

The current practice location address for Connie M Blackmore is 3155 Corte Cabrillo Drive, Aptos, CA and can be reached out via phone at 831-465-1421.

Location: 3155 Corte Cabrillo Drive, Aptos, CA, 95073-0523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548469588
Provider Name
Connie M Blackmore
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
3155 Corte Cabrillo Drive, Aptos, CA, 95073-0523
Phone Number
831-465-1421
Fax Number
Provider Enumeration Date
07/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3155 Corte Cabrillo Drive
City
Aptos
State
California
Zip
95003
Phone Number
831-465-1421
Fax Number
person
Provider Business Mailing Address Details
Address
3155 Corte Cabrillo Drive
City
Aptos
State
California
Zip
95003
Phone Number
831-465-1421
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
513345 (California)
Definition
Definition to come...
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