Individual
DEMETRIUS BRAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9703 STARBOARD CT, CHELTENHAM, MD 20623-1357
(202) 431-3880
(301) 782-9769
Mailing address
PO BOX 582, CHELTENHAM, MD 20623-0582
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
MD
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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