Individual
EQUILLA BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 GEORGIA AVENUE, SUITE 323, WASHINGTON, DC 20012
(202) 723-3060
(202) 723-3065
Mailing address
7600 GEORGIA AVENUE, SUITE 323, WASHINGTON, DC 20012
(202) 723-3060
(202) 723-3065
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
HHA3779
DC
Other
Enumeration date
04/13/2012
Last updated
10/06/2016
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