Andre Cherisca Jr.
Technician/Technologist, Optician in Laurel, MD. Individual provider (NPI-1).
NPI number1982833059
StatusActive
Last updated in NPPESJul 9, 2009
Details
- NPI
- 1982833059
- Entity type
- Individual (NPI-1)
- Name
- Andre Cherisca Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2009
- Last updated
- Jul 9, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | MD | Yes |
Practice location
615 Main StLaurel, MD 20707-4065
Phone 301-498-2003 · Fax 301-725-3271
Mailing address
615 Main StLaurel, MD 20707-4065
Phone 301-498-2003 · Fax 301-725-3271
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