MRS. DOMINIQUE CHARLESTON


Address: 10517 Pinewood Ct, Adelphi, MD 20783-1018
Phone: 3013663282

MRS. DOMINIQUE CHARLESTON (NPI# 1033550082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033550082
Entity Type Individual
Full Name MRS. DOMINIQUE CHARLESTON
Credential LMT
Practice Address 10517 Pinewood Ct
Adelphi
MD 20783-1018
Practice Telephone 3013663282
Mailing Telephone 3013663282
Enumeration Date 2013-07-07
Last Update Date 2013-07-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist M04159 MD Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 10517 PINEWOOD CT
City ADELPHI
State MD
Zip Code 20783-1018

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NPI Name Taxonomy Address Enumeration
1144862954 Tera Duffer Physician Assistant 7506 Adelphi, Hyattsville, MD 20783 2019-10-14
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1306365218 Alain Samuel Kameni Home Health Aide 1906 Dana Dr., Hyattsville, MD 20783 2017-09-12
1871011486 Justin Lee Blackwell Counselor 3501 University Blvd East, Adelphi, MD 20783 2017-09-04
1154843712 Annmarie Cynthia Wallace Home Health Aide 836 Fairoak Ave, Hyattsville, MD 20783 2017-07-14
1063934677 Dorine Adeline Kouanang Lapa Epse Laakak Technician 4043 Greenlawn Drive Apt 100, Hyattsville, MD 20783 2017-07-14
1861914798 Danielle Marie Graham Social Worker 1800 Metzerott Rd, Apt 206, Adelphi, MD 20783 2017-07-12
1336684703 Evelin Reyes Home Health Aide 2121 Ruatan St, Hyattsville, MD 20783 2016-12-21
1689121238 Carole Nkwignia Nketcha Home Health Aide 1908 Erie St Apt 102, Hyattsville, MD 20783 2016-09-01
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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NPI Name Taxonomy Address Enumeration
1508467606 Paul Clark Kimball Massage Therapist 3631 Martins Dairy Cir, Olney, MD 20832-2451 2020-11-04
1306447925 Maksim Simakhodskiy Massage Therapist 1328 Waugh Chapel Way, Gambrills, MD 21054 2020-11-02
1609476209 Edward Drew Welch Massage Therapist 1812 Baltimore Blvd Ste E, Westminster, MD 21157-7144 2020-11-01
1447850284 Maxine Nguyen Massage Therapist 2725 Theresa Ln, Baltimore, MD 21227-3554 2020-10-30
1457950305 Aj Denzel Henry Massage Therapist 44 Polk St, Aberdeen, MD 21001-2589 2020-10-21
1316545916 Chanin D Storm Massage Therapist 1719 Woodruff Way, Frederick, MD 21701-2514 2020-10-15
1164020756 Brighid Rose Satori Massage Therapist 8018 Brightwood Ct, Ellicott City, MD 21043-7932 2020-10-15
1740887496 Ariel Bailey Massage Therapist 3600 Northway Dr, Baltimore, MD 21234-7927 2020-10-06
1235736877 Janthima Sapadith Massage Therapist 834 Waterford Dr, Frederick, MD 21702-4088 2020-10-06
1205433372 Shengchao Qiang Massage Therapist 751 Sligo Ave, Silver Spring, MD 20910-4729 2020-10-02
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Competitor

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City ADELPHI
Zip Code 20783

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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