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Organization

OPTIMAL WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA A RUBY D.N.P., C. R. N. P. (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
363LA2200X
Adult Health Nurse Practitioner
Primary
R084575
MD

Other

Enumeration date
07/10/2013
Last updated
07/10/2013
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