| NPI | 1558317875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R MANKAMYER Chiropractor 301-334-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S02031) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC008044L) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2023-04-25 |