Organization
BL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEIDONG LI (OWNER)
(301) 795-5888
Entity
Organization
Contact information
Practice address
10320B BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-2128
(301) 795-5888
Mailing address
9516 BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-3702
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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