Individual
ALAYNA MARIE BLAZAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-4275
(443) 444-4276
Mailing address
2824 ONTARIO AVE, BALTIMORE, MD 21234-1111
(410) 935-8984
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R191300
MD
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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