Individual
GEORGE WILLIAM BLACKNELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 ATLANTIC ST SE # 305, WASHINGTON, DC 20032-3702
(202) 591-8913
Mailing address
400 ATLANTIC ST SE # 305, WASHINGTON, DC 20032-3702
(202) 591-8913
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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