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Organization
MED 1ST WALKIN CLINIC AND PRIMARY CARE
Active
Organization
MED 1ST WALKIN CLINIC AND PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL WALLS FNP (OWNER)
(240) 362-7279
Entity
Organization
Contact information
Practice address
15 S CENTRE ST, CUMBERLAND, MD 21502-3017
(240) 362-7279
Mailing address
15 S CENTRE ST, CUMBERLAND, MD 21502-3017
(240) 362-7279
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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