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Organization

JAD WOUND CARE, LLC

Active
Find providers by NPI
Organization

JAD WOUND CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADAMA PANDA CRNP (OWNER)
(240) 533-1395
Entity
Organization

Contact information

Practice address
10463 OWEN BROWN RD, COLUMBIA, MD 21044-3835
(301) 660-5654
Mailing address
10320 WILDE LAKE TER, COLUMBIA, MD 21044-2529

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
163WX1500X
Ostomy Care Registered Nurse
—
NULL
163WX1500X
Ostomy Care Registered Nurse
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
02/21/2022
Last updated
02/22/2022
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