Individual
WAYNE EVERTHAN BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2914 E JOPPA RD STE 201, PARKVILLE, MD 21234-3045
(443) 635-1423
(410) 882-0970
Mailing address
2914 E JOPPA RD STE 201, PARKVILLE, MD 21234-3045
(443) 635-1423
(410) 882-0790
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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