Individual
MARIE K BLASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1152
Mailing address
7647 HILLSIDE DR, VICTOR, NY 14564-8928
(585) 690-3405
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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