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Organization
ELITE ENHANCEMENTS LLC
Active
Organization
ELITE ENHANCEMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAYA MOORE (OWNER)
(443) 212-8822
Entity
Organization
Contact information
Practice address
17 WARREN RD STE 4B, PIKESVILLE, MD 21208-5331
(443) 449-4712
Mailing address
17 WARREN RD STE 4B, PIKESVILLE, MD 21208-5331
(443) 449-4712
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DV5667655
BOARD OF MARYLAND
MD
Enumeration date
07/07/2022
Last updated
07/08/2022
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