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Organization
LIFETOUCH CLINICAL CONSULTANTS,LLC
Active
Organization
LIFETOUCH CLINICAL CONSULTANTS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESABELLA MAH TEBID MBAH NP (FNP-BC)
(202) 257-2130
Entity
Organization
Contact information
Practice address
4512 DOCTOR BEANS LEGACY CIR, BOWIE, MD 20720-6384
(202) 257-2130
Mailing address
4512 DOCTOR BEANS LEGACY CIR, BOWIE, MD 20720-6384
(202) 257-2130
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R174293
MD
261QP2300X
Primary Care Clinic/Center
RN1009165
DC
Other
Enumeration date
01/04/2017
Last updated
01/23/2017
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