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Individual

MALINO RIEL JAVIER DEFAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
6231 N CHARLES ST # 1, BALTIMORE, MD 21212-1113
(410) 337-2044
Mailing address
2661 RIVA RD STE 1030, ANNAPOLIS, MD 21401-7131
(667) 354-5528

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2914
MD

Other

Enumeration date
06/15/2023
Last updated
03/21/2026
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