Organization
PEM WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LUCAS (OWNER)
(443) 865-8695
Entity
Organization
Contact information
Practice address
21 W 25TH ST, BALTIMORE, MD 21218-5003
(443) 865-8695
Mailing address
375 CHISELED STONE RD, SYKESVILLE, MD 21784-8656
(443) 865-8695
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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