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Individual

MELVA DIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2782 OLD WASHINGTON RD, GLAMOR GIRL BUILDING SUITE B, WALDORF, MD 20601-3176
(301) 583-6535
Mailing address
6118 SEA LION PL, WALDORF, MD 20603-4448
(301) 583-6535

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
172V00000X
Community Health Worker
1744P3200X
Prosthetics Case Management
Primary
420748
MD
1744P3200X
Prosthetics Case Management
MD
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316413636
MD
Enumeration date
03/11/2024
Last updated
03/02/2026
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