Organization
SUSQUEHANNA HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LILLIAN MOTHERSHED CRNP (OWNER)
(443) 807-6226
Entity
Organization
Contact information
Practice address
4125 WEBSTER RD, HAVRE DE GRACE, MD 21078-1647
(443) 807-6226
Mailing address
4125 WEBSTER RD, HAVRE DE GRACE, MD 21078-1647
(443) 807-6226
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/30/2024
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