Individual
KELSEE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 ROEDER RD APT 1004, SILVER SPRING, MD 20910-4416
(765) 465-0976
Mailing address
710 ROEDER RD, APT 1004, SILVER SPRING, MD 20910
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24149
MD
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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