Organization
PATUXENT WELLNESS CENTER L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MARIE VAN NORMAN L.AC, (OWNER)
(301) 482-0953
Entity
Organization
Contact information
Practice address
24724 HIPSLEY MILL RD, LAYTONSVILLE, MD 20882-3140
(301) 482-0953
Mailing address
24724 HIPSLEY MILL RD, LAYTONSVILLE, MD 20882-3140
(301) 482-0953
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02038
MD
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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