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Konstantina Blalock
NPI 1205217668 · on the registry since 2015 · sole proprietor
Practice
- Address
- 26845 Pratt Rd
Salisbury, MD 21801 - Phone
- (757) 710-3159
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland