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Organization

GAITHERSBURG WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANGBUM JOO DC (PRESIDENT)
(301) 569-0380
Entity
Organization

Contact information

Practice address
101 LAKEFOREST BLVD STE 395, GAITHERSBURG, MD 20877-2611
(919) 402-7551
Mailing address
101 LAKEFOREST BLVD STE 395, GAITHERSBURG, MD 20877-2746
(301) 200-8060

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4338
NC
111N00000X
Chiropractor
CH030129
DC
111N00000X
Chiropractor
Primary
S03901
MD

Other

Enumeration date
06/29/2017
Last updated
12/15/2021
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