Individual
STELLA M BLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10120 BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-3614
(410) 730-3399
Mailing address
6230 OLD DOBBIN LN STE 230, COLUMBIA, MD 21045-5884
(410) 730-3399
(410) 740-4776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05690
MD
363A00000X
Physician Assistant
—
TX
363A00000X
Physician Assistant
—
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2013
Last updated
04/27/2023
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