Individual
KHANITA SUVARNASUDDHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, L. AC
Contact information
Practice address
23330 FREDERICK RD, CLARKSBURG, MD 20871-9704
(240) 702-6413
(888) 972-7952
Mailing address
20302 SCENERY DR, GERMANTOWN, MD 20876-6036
(240) 654-2608
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
S03929
MD
171100000X
Acupuncturist
Primary
U02447
MD
Other
Enumeration date
06/02/2017
Last updated
07/21/2022
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