Organization
BLOSSOM INTEGRATED HEALTH AND BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IHUOMA MARVELOUS UDEAGHA DNP (CEO)
(240) 347-4494
Entity
Organization
Contact information
Practice address
338 MILL ST, HAGERSTOWN, MD 21740-6138
(240) 347-4494
Mailing address
338 MILL ST, HAGERSTOWN, MD 21740-6138
(240) 347-4494
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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