Provider Demographics
NPI:1457309437
Name:CAMPER, MARIA LEE (DC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:LEE
Last Name:CAMPER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 275
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710
Mailing Address - Country:US
Mailing Address - Phone:240-770-3961
Mailing Address - Fax:240-770-3962
Practice Address - Street 1:9332 ANNAPOLIS ROAD
Practice Address - Street 2:STE. 100B
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706
Practice Address - Country:US
Practice Address - Phone:240-770-3961
Practice Address - Fax:240-770-3962
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03396111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor