Individual
ROSHAUN HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9811 MALLARD DR STE 218, LAUREL, MD 20708-3199
(914) 879-4572
Mailing address
9811 MALLARD DR STE 218, LAUREL, MD 20708-3199
(914) 879-4572
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557266
VA
Other
Enumeration date
07/24/2015
Last updated
03/15/2021
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