Individual
CHARMANE BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
903 BRIGHTSEAT RD, HYATTSVILLE, MD 20785-4725
(301) 333-2980
Mailing address
903 BRIGHTSEAT RD, HYATTSVILLE, MD 20785-4725
(301) 333-2980
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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