Organization
IMKELLEYLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE MARIE WATKINS HAIR LOSS SPECIALIST (OWNER)
(240) 706-7824
Entity
Organization
Contact information
Practice address
6250 COLUMBIA CROSSING CIR # 4, COLUMBIA, MD 21045-8010
(240) 706-7824
Mailing address
255 N WASHINGTON ST APT 237, ROCKVILLE, MD 20850-1760
(240) 706-7824
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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