Organization
CONQUEST HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUMLI ANYE (PSYCH/MENTAL HEALTH NURSE PRACTITIO)
(240) 603-1253
Entity
Organization
Contact information
Practice address
12311 SNOWDEN WOODS RD, LAUREL, MD 20708-2492
(240) 524-1619
(240) 713-3107
Mailing address
12311 SNOWDEN WOODS RD, LAUREL, MD 20708-2492
(240) 524-1619
(240) 713-3107
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/11/2021
Last updated
09/11/2021
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