Search › Maryland › 246ZC0007X

Blaine Havens, SA-C, TS-C

NPI 1750231403 · on the registry since 2026 · sole proprietor

Practice

Address
14320 W Side Blvd Apt 303
Laurel, MD 20707
Phone
(440) 941-7716

Registry record

Primary taxonomy
246ZC0007X
246ZC0007X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-02

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