Provider Demographics
NPI:1871852590
Name:BLAY, DESIREE (HHA)
Entity Type:Individual
Prefix:
First Name:DESIREE
Middle Name:
Last Name:BLAY
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10752 VENETIA MILL CIR APT 2B
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1580
Mailing Address - Country:US
Mailing Address - Phone:202-702-8214
Mailing Address - Fax:
Practice Address - Street 1:10752 VENETIA MILL CIR APT 2B
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1580
Practice Address - Country:US
Practice Address - Phone:202-702-8214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide