Organization
MNR INDUSTRIES, LLC
Active
Other names
ExpressCare of Ingleside
Organization subpart
No
Provider details
NPI number
Authorized official
TAVIANNA BOST (CREDENTIALING MANAGER)
(410) 420-6970
Entity
Organization
Contact information
Practice address
5652 BALTIMORE NATIONAL PIKE STE 3, BALTIMORE, MD 21228-1401
(999) 999-9999
Mailing address
1505 E CHURCHVILLE RD, BEL AIR, MD 21014-4742
(410) 420-6970
(410) 420-6650
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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