Organization
GRANDE CHIROPRACTIC LLC
Active
Other names
Grande Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS A GRANDE D.C (OWNER)
(410) 451-9870
Entity
Organization
Contact information
Practice address
2411 CROFTON LN, SUITE 14A, CROFTON, MD 21114-1304
(410) 451-9870
(410) 451-9872
Mailing address
2411 CROFTON LN, SUITE 14A, CROFTON, MD 21114-1304
(410) 451-9870
(410) 451-9872
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
111N00000X
MD
Other
Enumeration date
07/06/2006
Last updated
11/06/2012
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