NPI | 1932224169 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA MICHELLE LORI Office Manager 410-581-9966 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S01544 AND S01494) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-08-22 |