Individual
EVELYN BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4205 NORCROSS ST, TEMPLE HILLS, MD 20748-1624
(240) 604-5357
Mailing address
4205 NORCROSS ST, TEMPLE HILLS, MD 20748-1624
(240) 604-5357
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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