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Individual

DR. JACOB DANIEL GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1908 FOREST DR, SUITE 2-HI, ANNAPOLIS, MD 21401-4340
(410) 280-1177
Mailing address
1908 FOREST DR, SUITE 2-HI, ANNAPOLIS, MD 21401-4340
(410) 280-1177

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S03871
MD

Other

Enumeration date
02/29/2016
Last updated
02/29/2016
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