Organization
FREE STATE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SUNDAY (OFFICE MANAGER)
(301) 788-2427
Entity
Organization
Contact information
Practice address
741 ANNAPOLIS RD, GAMBRILLS, MD 21054-1308
(240) 647-9049
Mailing address
365 W PATRICK ST FL 205, FREDERICK, MD 21701-5093
(240) 647-9049
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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