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Organization

CONQUEST HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KUMLI S ANYE (NURSE PRACTITIONER)
(240) 603-1253
Entity
Organization

Contact information

Practice address
12311 SNOWDEN WOODS RD, LAUREL, MD 20708-2492
(240) 603-1253
Mailing address
12311 SNOWDEN WOODS RD, LAUREL, MD 20708-2492

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
01/13/2020
Last updated
09/11/2021
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