Individual
JENNIFER BLANDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 ELDEN ST, SUITE 240, HERNDON, VA 20170-4861
(703) 709-0832
(703) 689-0139
Mailing address
150 ELDEN ST, SUITE 240, HERNDON, VA 20170-4861
(703) 709-0832
(703) 689-0139
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002944
VA
Other
Enumeration date
01/14/2009
Last updated
08/29/2012
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