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Organization
YOUR HEALTH NETWORK, INC.
Active
Organization
YOUR HEALTH NETWORK, INC.
Active
Parent organization
YOUR HEALTH NETWORK, INC.
Other names
Evergreen Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUR HEALTH NETWORK, INC.
Authorized official
MS. JESSICA KOHNEN (EXECUTIVE DIRECTOR)
(443) 451-4973
Entity
Organization
Contact information
Practice address
733 W 40TH ST, SUITE 200, BALTIMORE, MD 21211-2112
(443) 451-4993
Mailing address
3000 FALLS ROAD, SUITE 1, BALTIMORE, MD 21211-2112
(443) 963-2818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
01/05/2015
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