Organization
SEETAK HEALTH & WELLNESS LLC
Active
Other names
New Life Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FLORENCE O FAKAYODE CRNP (CEO/OWNER)
(240) 277-3873
Entity
Organization
Contact information
Practice address
937 RUSSELL AVE STE A, GAITHERSBURG, MD 20879-3280
(240) 477-4047
(240) 690-4128
Mailing address
937 RUSSELL AVE STE A, GAITHERSBURG, MD 20879-3280
(240) 477-4047
(240) 690-4128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R169935
STATE LICENSE
MD
Enumeration date
10/05/2022
Last updated
10/05/2022
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