Ripples Of Change

NPI 1194120139 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1194120139
Enumeration Date 11/04/2014
Last Updated 11/04/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KENDRA KENDRA
Position OWNER
Phone (410) 207-6687
Fax
Practice Location
11265 DOVEDALE CT
MARRIOTTSVILLE MD, 21104-1644, US
Phone (410) 207-6687
Fax
Business Location
PO BOX 220
FINKSBURG MD, 21048-0220, US
Phone
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Maryland
License Number LGP5164
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According to our database, Ripples Of Change NPI is 1194120139, taxonomy code is 251S00000X and license number is LGP5164, license state is located at Maryland. Ripples Of Change physically located at 11265 Dovedale Ct, Marriottsville MD, 21104-1644. NPI Number 1033115704 has the healthcare provider type.

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1194120139 NPI number is provided on an as is basis without warranty of any kind. 1194120139 is maintained by the National Plan & Provider Enumeration System. The contents of Ripples Of Change are for informational purposes only.