Individual
DANA BLOSSOM JULIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
J450135092554
Contact information
Practice address
1744 T ST NW, WASHINGTON, DC 20009-7101
(202) 669-2682
Mailing address
6122 OTIS ST, HYATTSVILLE, MD 20785-1036
(202) 705-0443
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J450135092554
MD DL
MD
Enumeration date
09/21/2018
Last updated
09/21/2018
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