Individual
DWANYE D MOLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11550 CROSSROADS CIR UNIT 649, MIDDLE RIVER, MD 21220-2994
(410) 236-9318
Mailing address
11550 CROSSROADS CIR UNIT 649, MIDDLE RIVER, MD 21220-2994
(410) 236-9318
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
803473
MD
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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