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Organization

I HEAL WOUNDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WAYNE MANNING BASS II (OWNER)
(240) 521-6092
Entity
Organization

Contact information

Practice address
20307 GRAZING WAY, MONTGOMERY VILLAGE, MD 20886-1211
(240) 521-6092
Mailing address
509 QUINCE ORCHARD RD # 112, GAITHERSBURG, MD 20878-1435
(240) 521-6092

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary

Other

Enumeration date
10/09/2024
Last updated
10/09/2024
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