Individual
LAKEISHA BLACKLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
9741 WYMAN WAY, UPPER MARLBORO, MD 20772-4656
(202) 400-8199
Mailing address
9741 WYMAN WAY, UPPER MARLBORO, MD 20772-4656
(202) 400-8199
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200003203
DC
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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