Organization
SPIRITUAL HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER LEWIS TOLLER NP (OWNER)
(240) 652-2932
Entity
Organization
Contact information
Practice address
2232 E MONUMENT ST, BALTIMORE, MD 21205-2431
(469) 208-4651
Mailing address
2232 E MONUMENT ST, BALTIMORE, MD 21205-2431
(469) 208-4651
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
02/08/2024
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