NPI 1104579952
Debbie June Blackwell
Practice location
- Address
- 1301 Bayside Ave APT 6, Woodbridge, VA 22191-2354
- Phone
- (571) 575-5565
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1104579952
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Feb 2022
- Record last updated
- 10 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.