Individual
CHRISTOPHER NATHANIEL DARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 LAKE DR UNIT 2, LUSBY, MD 20657-3260
(410) 449-8095
Mailing address
406 LAKE DR, LUSBY, MD 20657-3260
(410) 449-8095
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
D600115622628
MD
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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