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Organization
LIFE CHIROPRACTIC AND INJURY CENTER LLC
Active
Organization
LIFE CHIROPRACTIC AND INJURY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN HANER DC (SOLE MEMBER)
(240) 467-5600
Entity
Organization
Contact information
Practice address
6103 BALTIMORE AVE STE 101, RIVERDALE, MD 20737-1966
(240) 467-5600
(240) 467-5626
Mailing address
6103 BALTIMORE AVE STE 101, RIVERDALE, MD 20737-1966
(240) 467-5600
(240) 467-5626
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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