Individual
CHARNITA R DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9610 MARLBORO PIKE, UPPER MARLBORO, MD 20772-3767
(240) 257-2323
Mailing address
4063 RANCH RD, UPPER MARLBORO, MD 20772-8136
(240) 472-0200
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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