Wholistic Restorations Llc

NPI 1023446002 - Clinic/Center - 261QM0850X

NPI Details
NPI 1023446002
Enumeration Date 10/29/2013
Last Updated 11/22/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name AILSA AILSA
Position OWNER
Phone (301) 399-9119
Fax
Practice Location
12200 ANNAPOLIS RD
SUITE 320
GLENN DALE MD, 20769-9182, US
Phone (301) 399-9119
Fax
Business Location
4230 LAVENDER LN
BOWIE MD, 20720-4291, US
Phone
Fax
Toxanomy
Taxonomy Code 261QM0850X
License State Maryland
License Number 03437
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According to our database, Wholistic Restorations Llc NPI is 1023446002, taxonomy code is 261QM0850X and license number is 03437, license state is located at Maryland. Wholistic Restorations Llc physically located at 12200 Annapolis Rd, Glenn Dale MD, 20769-9182. NPI Number 1033115704 has the healthcare provider type.

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1023446002 NPI number is provided on an as is basis without warranty of any kind. 1023446002 is maintained by the National Plan & Provider Enumeration System. The contents of Wholistic Restorations Llc are for informational purposes only.