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Organization
FARA MEDICAL SERVICES LLC
Active
Organization
FARA MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARAMADE ERUANGA DNP, PMHNP-BC FNPBC (MEDICAL DIRECTOR)
(240) 606-9176
Entity
Organization
Contact information
Practice address
6525 KENOVA ST, DISTRICT HEIGHTS, MD 20747-2835
(240) 606-9176
Mailing address
2883 FALKIRK ALY, BRYANS ROAD, MD 20616-7017
(240) 606-9176
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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