Individual
MARY BETH BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14703 AVERY RD, ROCKVILLE, MD 20853-3605
(301) 762-5613
(301) 762-3451
Mailing address
14703 AVERY RD, ROCKVILLE, MD 20853-3605
(301) 762-5613
(301) 762-3451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0000903
MD
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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