Individual
ANDRE CHERISCA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 MAIN ST, LAUREL, MD 20707-4065
(301) 498-2003
(301) 725-3271
Mailing address
615 MAIN ST, LAUREL, MD 20707-4065
(301) 498-2003
(301) 725-3271
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
MD
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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