Individual
DR. SAMANTHA MARIE DEVIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4345 NORTHVIEW DR, BOWIE, MD 20716-2602
(301) 304-1028
Mailing address
4345 NORTHVIEW DR, BOWIE, MD 20716-2602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S04047
MD
Other
Enumeration date
02/05/2020
Last updated
02/28/2021
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