Organization
GUADALUPE CENTER FOR HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARJORIE R LIVINGSTON CRNP (OWNER)
(478) 250-7092
Entity
Organization
Contact information
Practice address
1643 LIBERTY RD STE 105, ELDERSBURG, MD 21784-6545
(478) 250-7092
Mailing address
717 COLLIER CT, WESTMINSTER, MD 21158-9449
(478) 250-7092
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
W18924431
MD
Other
Enumeration date
07/02/2018
Last updated
01/24/2024
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