# EON CARE CLINICIANS OF CA, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831919760
- **Authorized official:** KELLY JOY (VP)
- **Authorized official phone:** (667) 218-3396

## Contact information

- **Practice address:** 20451 SENECA MEADOWS PKWY, GERMANTOWN, MD 20876-7005
- **Practice address phone:** (301) 515-7260
- **Practice address fax:** (202) 478-5119
- **Mailing address:** 20451 SENECA MEADOWS PKWY, GERMANTOWN, MD 20876-7005
- **Mailing address phone:** (301) 515-7260
- **Mailing address fax:** (202) 478-5119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2024
- **Last updated:** 03/21/2025
