Individual
DR. RUSSEL VINCENT ANTICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
7060 OAKLAND MILLS RD, SUITE I, COLUMBIA, MD 21046-1694
(443) 259-0235
(443) 259-0236
Mailing address
7060 OAKLAND MILLS RD, SUITE I, COLUMBIA, MD 21046-1694
(443) 259-0235
(443) 259-0236
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01939
MD
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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