Healthcare Provider Details

I. General information

NPI: 1487643326
Provider Name (Legal Business Name): DELPHINE MARIE BLAIN SC.M., M.B.A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 07/01/2022
Certification Date: 07/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DRIVE MSC 1860 BUILDING 10, ROOM 10N226
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

10 CENTER DRIVE MSC1860 BUILDING 10 ROOM 10N109
BETHESDA MD
20892-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-496-1410
  • Fax: 301-402-1214
Mailing address:
  • Phone: 301-496-1410
  • Fax: 301-402-1214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: