Organization
HOLISTIC TRACK INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVARIST O OGUGUO PMHNP (PRESIDENT)
(240) 552-0264
Entity
Organization
Contact information
Practice address
110 PAINTERS MILL RD STE 108, OWINGS MILLS, MD 21117-5545
(240) 552-0264
Mailing address
2504 SOMERTON CT, BOWIE, MD 20721-2979
(240) 552-0264
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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