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Contact Information

JASMINE BLAKE
2701 MOORES PLAINS BLVD
UPPER MARLBORO, MD20774-8059
 Phone: 240-838-8401
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for JASMINE BLAKE · (Female)

NPI Number 1164293783
Status Active
Credentials
Entity Individual
Enumeration date 01/11/2024
Last updated 01/11/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # R235161
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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