Organization
ADVANCED FUNCTIONAL HEALTH AND WELLNESS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS GBONE (MANAGER)
(301) 966-2558
Entity
Organization
Contact information
Practice address
1003 W 7TH ST STE B, FREDERICK, MD 21701-4153
(301) 966-2558
Mailing address
1003 W 7TH ST STE B, FREDERICK, MD 21701-4153
(301) 966-2558
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/24/2023
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