Most Relevant Information
Provider Data
| NPI Number: | 1003656943 |
| Provider Name: | MALCOLM BLAND CPRS, RPS |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | PR0687 |
Most Important Dates
| Enumeration Date: | 05/29/2024 |
| Last Updated: | 05/29/2024 |
Provider Practice Location
8116 HARFORD RD STE 2B
BALTIMORE
MD
212345761
Practice Location Phone/Fax
| Phone: | 4108701011 |
| Fax: |
Provider Mailing Location
2709 HANSON AVE APT 2A
BALTIMORE
MD
212093997
Provider Mailing Phone/Fax
| Phone: | 4439792823 |
| Fax: |