Individual
BLEN AFEWORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
(202) 420-7165
Mailing address
4847 W BRADDOCK RD APT 102, ALEXANDRIA, VA 22311-4853
(703) 209-6838
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN1027923
DC
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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