Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 01760 | MD |
NPI | 1013029206 |
---|---|
Provider Name | Mrs. Tania Messina Howard |
First Address | Annapolis, MD 21409-5717 |
Second Address | Annapolis, MD 21409-4614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |