Organization
LIFETOUCH FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESABELLA MAH TEBID MBAH (MEDICAL DIRECTOR)
(202) 257-2130
Entity
Organization
Contact information
Practice address
9801 GREENBELT RD STE 103, LANHAM, MD 20706-6204
(240) 267-4222
Mailing address
9801 GREENBELT RD STE 103, LANHAM, MD 20706-6204
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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