Deloris Blaine
Individual provider Active NPI Homemaker · Washington, DC
NPI 1235779489 · NPPES record last updated Jan 15, 2020
Key facts
- NPI
- 1235779489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 113 Elmira St SW
Washington, DC 20032-2266 - Phone
- (202) 817-4742
- NPI assigned
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker |
376J00000X | Yes |
Addresses
Primary practice location
113 Elmira St SW
Washington, DC 20032-2266
Mailing address
113 Elmira St SW
Washington, DC 20032-2266
Phone (202) 817-4742
Other providers in Washington, DC
- Yolanda Blagrove
- April L Blaine
- Benita Blaine
- Christina Blaine
- Daquann Bryant Blaine
- James Blaine Jr.
- Stacey Blaine
- Tonya D Blaine
- Carlene Blair
- Desmond Desmond Blair
All providers in Washington, DC · Homemaker in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.