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Organization

CHIDERA HEALTH AND MENTAL HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLEMENTINA NWANDU CRNP (CEO)
(240) 978-7515
Entity
Organization

Contact information

Practice address
14258 OXFORD DR, LAUREL, MD 20707-5854
(240) 978-7515
Mailing address
14258 OXFORD DR, LAUREL, MD 20707-5854

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
11/03/2023
Last updated
11/03/2023
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