Individual
INDIA BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 LENFANT SQ SE, WASHINGTON, DC 20020-6724
(704) 293-5639
Mailing address
1301 LENFANT SQ SE, WASHINGTON, DC 20020-6724
(704) 293-5639
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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