Organization
GLEE MED SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOSHANA NOURMAND (MANAGER)
(410) 419-9984
Entity
Organization
Contact information
Practice address
2219 YORK RD STE 103, TIMONIUM, MD 21093-3140
(410) 826-0800
Mailing address
6510 GARDENWICK RD, BALTIMORE, MD 21209-2538
(410) 419-9984
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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