Organization
OPTIMAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA A RUBY CRNP (OWNER)
(410) 861-5256
Entity
Organization
Contact information
Practice address
1812 BALTIMORE BLVD, SUITE C, WESTMINSTER, MD 21157-7146
(410) 861-5256
(410) 861-5258
Mailing address
1812 BALTIMORE BLVD, SUITE C, WESTMINSTER, MD 21157-7146
(410) 861-5256
(410) 861-5258
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
R084575
MD
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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