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Organization
FRESH FRESH HEALTH CARE AGENCY LLC,
Active
Organization
FRESH FRESH HEALTH CARE AGENCY LLC,
Active
Other names
Fresh Fresh Healthcare Cannabis
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA K RODNEY PHD DR PHYSIOLOGY (CEO)
(202) 823-9346
Entity
Organization
Contact information
Practice address
7604 VICAR PL, NEW CARROLLTON, MD 20784-2966
(202) 823-9346
Mailing address
7604 VICAR PL, NEW CARROLLTON, MD 20784-2966
(202) 823-9346
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20782660
OTHER LOCATIONS LICENSED
MD
Enumeration date
03/30/2022
Last updated
04/07/2022
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