Individual
MR. JOHN M BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRS
Contact information
Practice address
3700 LANCASTER PIKE, WILMINGTON, DE 19805-1511
(302) 278-0026
(302) 278-0047
Mailing address
3700 LANCASTER PIKE, WILMINGTON, DE 19805-1511
(302) 278-0026
(302) 278-0047
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2144
DE
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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