Individual
BLANCA E DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 JEFFERSON ST NW, WASHINGTON, DC 20011-7730
(202) 739-7046
Mailing address
12104 DEWEY RD, SILVER SPRING, MD 20906-4616
(240) 877-5749
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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