Individual
KIMBERLY JANE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
7055 SAMUEL MORSE DR, SUITE 200, COLUMBIA, MD 21046-3439
(144) 328-0792
Mailing address
7055 SAMUEL MORSE DR, SUITE 200, COLUMBIA, MD 21046-3439
(144) 328-0792
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R072300
MD
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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