Individual
MS. BRENDA T BLASSINGAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 OGDEN AVE APT 24L, BRONX, NY 10452-4310
(347) 217-2445
Mailing address
1133 OGDEN AVE APT 24L, BRONX, NY 10452-4310
(347) 217-2445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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