Individual
DAQUANN BRYANT BLAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4374 7TH ST SE APT 204, WASHINGTON, DC 20032-3567
(202) 790-3655
Mailing address
4374 7TH ST SE APT 204, WASHINGTON, DC 20032-3567
(202) 790-3655
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747P1801X
—
DC
Enumeration date
08/20/2021
Last updated
08/20/2021
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