Individual
DR. JESSE LARRY BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3222 EDGEWOOD RD, KENSINGTON, MD 20895-2904
(301) 538-9170
Mailing address
3222 EDGEWOOD RD, KENSINGTON, MD 20895-2904
(301) 538-9170
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO595
DC
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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