Organization
ETHOS HEALTH GROUP MARYLAND 5 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN RAY WALKER DC (OWNER/OPERATOR)
(352) 732-5590
Entity
Organization
Contact information
Practice address
152 ROLLINS AVE STE 210, ROCKVILLE, MD 20852-4008
(352) 732-5590
(352) 732-0292
Mailing address
152 ROLLINS AVE STE 210, ROCKVILLE, MD 20852-4008
(352) 732-5590
(352) 732-0292
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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