Organization
DAYDREAM SUNSHINE INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HERNANDEZ (BILLING SPECIALIST)
(980) 989-9487
Entity
Organization
Contact information
Practice address
4000 MITCHELLVILLE RD STE A406, BOWIE, MD 20716-3139
(301) 262-0400
Mailing address
4000 MITCHELLVILLE RD STE A404, BOWIE, MD 20716-3137
(301) 262-0400
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
03/03/2021
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