Individual
TAKURA ABUS TELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
600 JEFFERSON PLZ STE 350, ROCKVILLE, MD 20852-1157
(301) 279-9009
(301) 279-9008
Mailing address
600 JEFFERSON PLZ STE 350, ROCKVILLE, MD 20852-1157
(301) 279-9009
(301) 279-9008
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
S04062
MD
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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