Provider Demographics
NPI:1477019743
Name:BLAKEY, SHERMONA MONIQUE (CPR, FIRST AID)
Entity Type:Individual
Prefix:MS
First Name:SHERMONA
Middle Name:MONIQUE
Last Name:BLAKEY
Suffix:
Gender:F
Credentials:CPR, FIRST AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2474 ALABAMA AVE SE APT 104
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-2770
Mailing Address - Country:US
Mailing Address - Phone:202-423-5177
Mailing Address - Fax:
Practice Address - Street 1:2005 32ND PL SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3325
Practice Address - Country:US
Practice Address - Phone:202-575-8685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant