| NPI | 1306419288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROSA Owner 240-863-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-11-17 |