Blake, Tomsene Johnetta

Blake, Tomsene Johnetta is an sole proprietor health care provider with primary practice located at 12115 Sutton Ln , Bowie MD 20720-3562. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Blake, Tomsene Johnetta can be contacted via phone (202) 528-3067.

Contact Information

Primary practice address
12115 Sutton Ln Bowie MD 20720-3562
Phone: (202) 528-3067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X M01119 Maryland

Profile Details

NPI number 1609480342
LBN Legal business name Blake, Tomsene Johnetta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2020
Last updated Sep 1st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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