Organization
CHARM CITY ORTHOTICS & PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNIE EARL LOVEDAY JR. BOCO (OWNER)
(301) 980-4995
Entity
Organization
Contact information
Practice address
12933 JAMESON DR, WALDORF, MD 20602-3023
(301) 980-4995
Mailing address
12933 JAMESON DR, WALDORF, MD 20602-3023
(301) 980-4995
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MD
Other
Enumeration date
05/15/2011
Last updated
05/15/2011
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