Individual
MELISSA KUBICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
11110 MALL CIR, WALDORF, MD 20603-4803
(301) 705-8383
(301) 705-8388
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6509
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
TA1316
MD
Other
Enumeration date
04/17/2007
Last updated
04/23/2008
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