Dara Rena Wilson D.C.

NPI 1669679239 - Chiropractor - 111NR0400X

NPI Details
NPI 1669679239
Gender Female
Enumeration Date 06/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2810 WALTERS LN
SUITE 14
FORESTVILLE MD, 20747-3247, US
Phone (301) 420-8888
Fax (301) 420-8838
Business Location
3801 EDGEWOOD RD
BALTIMORE MD, 21215-7205, US
Phone (410) 578-3993
Fax
Toxanomy
Taxonomy Code 111NR0400X
License State Maryland
License Number S02081
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According to our database, Dr. Dara Rena Wilson D.C. NPI is 1669679239, taxonomy code is 111NR0400X and license number is S02081, license state is located at Maryland. Dara Rena Wilson D.C. physically located at 2810 Walters Ln, Forestville MD, 20747-3247. NPI Number Dara Rena Wilson D.C. has the Individual type.

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1669679239 NPI number is provided on an as is basis without warranty of any kind. 1669679239 is maintained by the National Plan & Provider Enumeration System. The contents of Dara Rena Wilson D.C. are for informational purposes only.