Individual
BRANDY BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
6135 HIL MAR DR, DISTRICT HEIGHTS, MD 20747-2985
(301) 905-9690
Mailing address
4256 6TH ST SE, WASHINGTON, DC 20032-3612
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
DC0973
DC
376K00000X
Nurse's Aide
Primary
—
DC
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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