NPI | 1922295948 |
---|---|
Entity Type | Organization |
Authorized Contact | MARISSA I WALLIE Owner 410-349-2727 |
Organization Subpart ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 01998) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 01760) |
Enumeration Date | 2007-10-03 |
Last Update Date | 2008-07-30 |