Individual
XAVIER GRANT-STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7820 WORMANS MILL RD STE Y, FREDERICK, MD 21701-3037
(301) 756-5284
Mailing address
391 TAYSIDE WAY, HYATTSVILLE, MD 20785-4769
(434) 316-4350
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S04059
MD
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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