# AMBIANCE AESTHETICS & REJUVENATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ambiance MedSpa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932982360
- **Authorized official:** KAREN M JOHNSON FNP-C (OWNER)
- **Authorized official phone:** (667) 230-3591

## Contact information

- **Practice address:** 1667 CROFTON CTR STE 8B, CROFTON, MD 21114-1303
- **Practice address phone:** (667) 230-3591
- **Mailing address:** 10609 LAND TREE DR, UPPER MARLBORO, MD 20772-6633
- **Mailing address phone:** (410) 299-8955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2023
- **Last updated:** 08/17/2023