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Organization
HOLISTIC MEDICAL SERVICES, LLC
Active
Organization
HOLISTIC MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA CAESAR CRNP, PMH-BC (PRESIDENT)
(240) 301-0237
Entity
Organization
Contact information
Practice address
5801 BELAIR RD, BALTIMORE, MD 21206-2608
(240) 601-0237
Mailing address
14817 ROSE TRELLIS PL, SILVER SPRING, MD 20906-5738
(202) 375-4367
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579012300
—
MD
Enumeration date
09/12/2022
Last updated
06/25/2024
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