Individual
DR. CHARLES ALLEN BLAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF CHIROPRACT
Contact information
Practice address
7801 YORK ROAD, SUITE 124, TOWSON, MD 21204-7442
(410) 823-2626
(410) 823-7611
Mailing address
7801 YORK ROAD, SUITE 124, TOWSON, MD 21204-7442
(410) 823-2626
(410) 823-7611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01862
MD
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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