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Individual

DANIELLE BLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
11621 BRANDY HALL LN, NORTH POTOMAC, MD 20878-2423
(240) 477-0594
Mailing address
11621 BRANDY HALL LN, NORTH POTOMAC, MD 20878-2423
(240) 477-0594

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11074408
MD

Other

Enumeration date
01/25/2013
Last updated
01/25/2013
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