Organization
TRI-STATE INTEGRATIVE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MOWLL DC (MANAGING MEMBER)
(302) 743-2328
Entity
Organization
Contact information
Practice address
34B TROLLEY SQ, WILMINGTON, DE 19806-3352
(302) 743-2328
Mailing address
34B TROLLEY SQ, WILMINGTON, DE 19806-3352
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F1-0000460
DE
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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