Organization
HEALTH RELEAF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON MARTIN CRNP (OWNER)
(240) 671-1747
Entity
Organization
Contact information
Practice address
1406B CRAIN HWY S STE 304, GLEN BURNIE, MD 21061-4094
(301) 804-0322
(240) 266-1052
Mailing address
1406B CRAIN HWY S STE 304, GLEN BURNIE, MD 21061-4094
(301) 804-0344
(240) 266-1052
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R182264
MD
Other
Enumeration date
07/20/2018
Last updated
12/19/2022
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