DE ETTA LYNN BLAKENSHIP

NPI: 1376731299 · Individual · Active

Primary Specialty

Case Manager/Care Coordinator

Practice Location

1315 13TH AVE SE
DECATUR, AL 35601-4308 Map ↗
Phone: 256-355-6105

All Specialties & Licenses

  • Case Manager/Care Coordinator Primary (license: CASE MANAGER)

NPI Registration

Enumerated: 2007-10-04

Last CMS Update: 2007-10-04