Individual
CHAKAYLA MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6962 HEATHER DR, BRYANS ROAD, MD 20616-3255
(240) 274-0326
Mailing address
6962 HEATHER DR, BRYANS ROAD, MD 20616-3255
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
M-343-115-159-389
MD
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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