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Organization
MINDFUL PSYCHIATRY LLC
Active
Organization
MINDFUL PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZRA MOLINA CRNP (NP)
(301) 500-9490
Entity
Organization
Contact information
Practice address
1236 FRANCES PL, CATONSVILLE, MD 21228-1790
(301) 590-5170
Mailing address
1236 FRANCES PL, CATONSVILLE, MD 21228-1790
(301) 590-5170
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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