Most Relevant Information
Provider Data
| NPI Number: | 1003514258 |
| Provider Name: | YOLANDA BLAGROVE LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN1004721 |
Most Important Dates
| Enumeration Date: | 02/17/2023 |
| Last Updated: | 02/17/2023 |
Provider Practice Location
801 PENNSYLVANIA AVE SE
WASHINGTON
DC
200032167
Practice Location Phone/Fax
| Phone: | 2027960605 |
| Fax: |
Provider Mailing Location
2218 AFTON ST
TEMPLE HILLS
MD
207484204
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |