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Organization
BLUE OAK HEALTH SERVICES LLC
Active
Organization
BLUE OAK HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON BALINGWE (OWNER)
(123) 456-7890
Entity
Organization
Contact information
Practice address
1818 NEW YORK AVE NE STE 225, WASHINGTON, DC 20002-1851
(123) 456-7890
Mailing address
11817 FROST DR, BOWIE, MD 20720-4428
(123) 456-7891
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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