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Diondella Blanton
Massage Therapist in Waldorf, Maryland
NPI 1184226250

Diondella Blanton is a Massage Therapist based in Waldorf, MD. Diondella Blanton practices in Waldorf, MD. The NPI Number for Diondella Blanton is 1184226250 and holds a License No. 04794 (Maryland).

The current practice location address for Diondella Blanton is 11641 Dorado Beach Ct, Waldorf, MD and can be reached out via phone at 502-650-3179.

Location: 11641 Dorado Beach Ct, Waldorf, MD, 20602-3123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184226250
Provider Name
Diondella Blanton
Credential
Provider Entity Type
Individual
Gender
Female
Address
11641 Dorado Beach Ct, Waldorf, MD, 20602-3123
Phone Number
502-650-3179
Fax Number
Provider Enumeration Date
11/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11641 Dorado Beach Ct
City
Waldorf
State
Maryland
Zip
20602-3123
Phone Number
502-650-3179
Fax Number
person
Provider Business Mailing Address Details
Address
11641 Dorado Beach Ct
City
Waldorf
State
Maryland
Zip
20602-3123
Phone Number
502-650-3179
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
04794 (Maryland)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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