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Organization
CONTINUUM WELLNESS CENTER LLC.
Active
Organization
CONTINUUM WELLNESS CENTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYSTRA EASTLYN WILLIAMS CRNP (NURSE PRACTITIONER)
(443) 979-0302
Entity
Organization
Contact information
Practice address
2 W ROLLING XRDS STE 111, CATONSVILLE, MD 21228
(410) 788-6727
(410) 788-6729
Mailing address
2 W ROLLING XRDS STE 111, CATONSVILLE, MD 21228-6204
(410) 788-6727
(410) 788-6729
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R132674
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871678995
NPI
—
05
—
870014100
—
MD
Enumeration date
01/29/2016
Last updated
08/18/2019
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