Search › Maryland › 163WC0200X
Jasmine Blake
NPI 1164293783 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2701 Moores Plains Blvd
Upper Marlboro, MD 20774 - Phone
- (240) 838-8401
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland