Organization
PATRICIA'S PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANI WILSON (OWNER/PRESIDENT)
(301) 979-7501
Entity
Organization
Contact information
Practice address
3234 BELAIR RD FL 1, BALTIMORE, MD 21213-1228
(301) 979-7501
Mailing address
3234 BELAIR RD FL 1, BALTIMORE, MD 21213-1228
(301) 979-7501
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
04/05/2022
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