Individual
BLAISE POKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6735 NEW HAMPSHIRE AVE APT 1111, TAKOMA PARK, MD 20912-2836
(202) 702-4180
Mailing address
6735 NEW HAMPSHIRE AVE APT 1111, TAKOMA PARK, MD 20912-2836
(202) 702-4180
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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