Individual
MRS. KIMBERLY BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8832 HARDESTY DR, CLINTON, MD 20735-4703
(240) 274-2235
Mailing address
10303 SARAH LANDING DR, CHELTENHAM, MD 20623-1238
(240) 274-2235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R227240
MD
163W00000X
Registered Nurse
Primary
RN1042972
DC
164W00000X
Licensed Practical Nurse
LPN 1004388
DC
164W00000X
Licensed Practical Nurse
LPN48410
MD
Other
Enumeration date
12/16/2015
Last updated
05/03/2017
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