Individual
ERIC WAFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7012 PRESLEY RD, LANHAM, MD 20706-3466
(508) 627-2342
Mailing address
7012 PRESLEY RD, LANHAM, MD 20706-3466
(508) 627-2342
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104557883
VA
111N00000X
Chiropractor
04183
MD
111NI0013X
Independent Medical Examiner Chiropractor
Primary
0104557883
VA
Other
Enumeration date
09/04/2016
Last updated
08/21/2023
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