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9 LIVES WELLNESS LLC

Organization (NPI-2) Active

Nurse Practitioner, Family

Provider Information

NPI Number
1598621500
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
14507 OWINGS AVE, BRANDYWINE, MD, 206135915
Phone
(301) 375-0101

Specialties & Taxonomies

Clinic/Center, Primary Care
Nurse Practitioner, Family Primary

All Addresses

MAILING

173 SAINT PATRICKS DRIVE SUITE 104 PMB 3151

WALDORF, MD, 20603

(301) 375-0101

LOCATION

14507 OWINGS AVE

BRANDYWINE, MD, 206135915

(301) 375-0101