Organization
HEALTHY OPTION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA AJAYI NURSE PRACTITIONER (PROVIDER)
(443) 538-1383
Entity
Organization
Contact information
Practice address
8713 HARFORD RD, PARKVILLE, MD 21234-4650
(443) 538-1383
Mailing address
101 EGYPT FARMS RD, OWINGS MILLS, MD 21117-5043
(443) 538-1383
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
11/07/2020
Last updated
08/02/2021
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