Individual
BARRY STATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
2323 SHADYSIDE AVE, SUITLAND, MD 20746-4827
(301) 575-7871
Mailing address
2016 TANGLEWOOD DR, WALDORF, MD 20601-5224
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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