Individual
MYKEIRA BLACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1169 1ST PL NW, WASHINGTON, DC 20001-1324
(202) 677-9779
Mailing address
1169 1ST PL NW, WASHINGTON, DC 20001-1324
(202) 677-9779
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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