Individual
ANTHONY MAKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2817 MELISA DR, FORT WASHINGTON, MD 20744-2578
(301) 476-0011
Mailing address
2817 MELISA DR, FORT WASHINGTON, MD 20744-2578
(301) 476-0011
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5622
PUBLIC SERVICE COMMISION
MD
Enumeration date
08/19/2015
Last updated
07/19/2016
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