Organization
HOUSECALL PRACTITIONER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBRA BONSU (OWNER/HEALTHCARE PROVIDER)
(240) 397-6694
Entity
Organization
Contact information
Practice address
4310 VINE ST, CAPITOL HEIGHTS, MD 20743-5817
(240) 397-6694
Mailing address
7820B WORMANS MILL RD # 179, FREDERICK, MD 21701-3034
(240) 397-6694
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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