Individual
CHARLES MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4907 NIAGARA RD STE 102, COLLEGE PARK, MD 20740
(301) 747-1802
Mailing address
7109 ANTOCK PL, UPPER MARLBORO, MD 20772-4303
(513) 252-8493
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05034
MD
Other
Enumeration date
08/26/2018
Last updated
08/26/2018
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