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Shannel Blake

NPI 1578496295 · on the registry since 2026 · sole proprietor

Practice

Address
7903 Crisford Pl Apt F
Pikesville, MD 21208
Phone
(301) 442-1929

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-03

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