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SEBASTIAN A PATELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2850 N RIDGE RD STE 107, ELLICOTT CITY, MD 21043-3396
(410) 376-8807
Mailing address
2850 N RIDGE RD STE 107, ELLICOTT CITY, MD 21043-3396
(410) 376-8807

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S04171
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S04171
MARYLAND BOARD OF CHIROPRACTIC EXAMINERS
MD
Enumeration date
02/23/2023
Last updated
02/23/2023
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