Individual
DR. MICHAEL JARED EDENZON
Active
Individual
DR. MICHAEL JARED EDENZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
111NN1001X
DE
111NN1001X
Nutrition Chiropractor
DC-007149-L
PA
Other
Enumeration date
10/25/2006
Last updated
06/14/2022
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