Individual
ISAIAH BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
653 16TH ST NE, WASHINGTON, DC 20002-4675
(202) 375-4739
Mailing address
653 16TH ST NE APT 2, WASHINGTON, DC 20002-4675
(202) 375-4739
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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