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Organization
PROMETHEAN HEALTHCARE, LLC
Active
Organization
PROMETHEAN HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISUN PETERS-DIAZ (FOUNDER / OWNER)
(917) 861-2531
Entity
Organization
Contact information
Practice address
6609 FAIRMOUNT AVE, BALTIMORE, MD 21215-1906
(917) 861-2531
Mailing address
1019 MIDLAND AVE, YORK, PA 17403-3339
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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