Organization
DYNMED PRIMARY CARE AND WELLNESS P. A
Active
Parent organization
DYNMED PRIMARY CARE AND WELLNESS P. A
Organization subpart
Yes
Provider details
NPI number
Legal business name
DYNMED PRIMARY CARE AND WELLNESS P. A
Authorized official
MRS. EKOP GRAHAM NP (DIRECTOR)
(301) 526-1004
Entity
Organization
Contact information
Practice address
6510 KENILWORTH AVE STE 2700, RIVERDALE, MD 20737-1353
(301) 526-1004
Mailing address
6510 KENILWORTH AVE STE 2700, RIVERDALE, MD 20737-1353
(301) 526-1004
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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