NPI | 1750802831 |
---|---|
Entity Type | Organization |
Authorized Contact | SANGBUM JOO President 301-569-0380 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03901) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4338) |
111N00000X Chiropractor (Licence: DC CH030129) | |
Enumeration Date | 2017-06-29 |
Last Update Date | 2021-12-15 |