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Organization

CONTINUUM WELLNESS CENTER LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LYSTRA EASTLYN WILLIAMS CRNP (NURSE PRACTITIONER)
(443) 979-0302
Entity
Organization

Contact information

Practice address
2 W ROLLING XRDS STE 111, CATONSVILLE, MD 21228
(410) 788-6727
(410) 788-6729
Mailing address
2 W ROLLING XRDS STE 111, CATONSVILLE, MD 21228-6204
(410) 788-6727
(410) 788-6729

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R132674
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1871678995
NPI
05
870014100
MD
Enumeration date
01/29/2016
Last updated
08/18/2019
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