Individual
DONTAE LUKMAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1113 HEALTHWAY DR, SALISBURY, MD 21804-4470
(410) 714-1235
Mailing address
1113 HEALTHWAY DR, SALISBURY, MD 21804-4470
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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