Organization
HOLISTIC HEALTH AND WELLNESS MEDICAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONYA COLCLOUGH (DIRECTOR OF OPERATIONS)
(240) 280-6267
Entity
Organization
Contact information
Practice address
1450 MERCANTILE LN, SUITE 221, LARGO, MD 20774-5376
(240) 280-6267
(301) 773-0050
Mailing address
1450 MERCANTILE LN, SUITE 221, LARGO, MD 20774-5376
(240) 280-6267
(301) 773-0050
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R103000
MD
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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