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Organization
LOGISTICS HEALTH INCORPORATED
Active
Organization
LOGISTICS HEALTH INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY SANTIAGO (NP)
(256) 508-9034
Entity
Organization
Contact information
Practice address
4201 NORTHVIEW DR STE 410, BOWIE, MD 20716-2668
(240) 644-5570
Mailing address
12 INDIAN GRASS CT, GERMANTOWN, MD 20874-2930
(240) 644-5570
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
R 187467
MD
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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