Individual
MRS. JANESSA BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT 2 PHLEBOTOMIST
Contact information
Practice address
14502 GREENVIEW DR FL 5, LAUREL, MD 20708-3287
(410) 705-4423
(410) 457-3164
Mailing address
9997 CAMPUS WAY S, UPPER MARLBORO, MD 20774-2151
(240) 351-9065
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
Primary
—
MD
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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