Organization
DGENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUEEN B O MUMUNEY APRN (CEO)
(301) 442-5109
Entity
Organization
Contact information
Practice address
6180 SCAGGS RD, OWINGS, MD 20736-4208
(301) 442-5109
Mailing address
6180 SCAGGS RD, OWINGS, MD 20736-4208
(301) 442-5109
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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