Individual
DR. DIANE GRACE ROSSELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4000 MITCHELLVILLE RD, SUITE B122, BOWIE, MD 20716-3104
(301) 464-9400
Mailing address
PO BOX 1687, EDGEWATER, MD 21037-7687
(301) 464-9400
(301) 464-2972
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SO1133
MD
Other
Enumeration date
11/15/2006
Last updated
05/01/2019
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