Individual
JIMMY VONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
540 E BELVEDERE AVE STE 200, BALTIMORE, MD 21212-3750
(410) 323-4500
Mailing address
8225 MAPLE CLIFF WAY, ELLICOTT CITY, MD 21043-5531
(716) 465-4721
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S04151
MD
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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