Organization
HISPANIC AMERICAN PEDIATRICS & FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETICIA GRACIELA BUSTAMANTE SANCHEZ NURSE PRACTITIONER (CRNP)
(301) 818-7272
Entity
Organization
Contact information
Practice address
2255 CRAIN HWY STE 107, WALDORF, MD 20601-3186
(301) 818-7272
Mailing address
2255 CRAIN HWY STE 107, WALDORF, MD 20601-3186
(301) 818-7272
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
06/10/2022
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