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Organization

GSS PROVITA SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GUILLANA SIMON CRNP (OWNER/FOUNDER)
(240) 222-2667
Entity
Organization

Contact information

Practice address
9711 WASHINGTONIAN BLVD STE 550, GAITHERSBURG, MD 20878-5789
(240) 949-4034
Mailing address
150 MONROE ST APT 101, ROCKVILLE, MD 20850-2518
(240) 222-2667

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
07/28/2025
Last updated
10/29/2025
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