Individual
BLAISE BADOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 VERMONT AVE NW, WASHINGTON, DC 20005-4902
(844) 381-4432
Mailing address
1771 ELTON RD # 1771, SILVER SPRING, MD 20903-1757
(202) 415-6922
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
00000000
DC
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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