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Organization

HOUSE OF CHANGE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAULA OHIKU (NURSE PRACTITIONER)
(410) 404-7651
Entity
Organization

Contact information

Practice address
11 AYNESLEY CT, OWINGS MILLS, MD 21117-6143
(410) 404-7651
Mailing address
11 AYNESLEY CT, OWINGS MILLS, MD 21117-6143

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
MD

Other

Enumeration date
03/02/2016
Last updated
03/02/2016
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