Individual
MRS. DOMINIQUE CHARLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10517 PINEWOOD CT, ADELPHI, MD 20783-1018
(301) 366-3282
Mailing address
10517 PINEWOOD CT, ADELPHI, MD 20783-1018
(301) 366-3282
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M04159
MD
Other
Enumeration date
07/07/2013
Last updated
07/07/2013
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