| NPI | 1801043955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTAL JANE MOSKO Chiropractic Assistant 301-638-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 1891) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 1890) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-12-09 |