Organization
FOREMAN'S IMPERIAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA D FOREMAN FNP (OWNER OF ENTITY)
(301) 326-9090
Entity
Organization
Contact information
Practice address
11710 REISTERSTOWN RD STE 207, REISTERSTOWN, MD 21136-3363
(301) 326-9090
Mailing address
3910 SUSANNA RD, RANDALLSTOWN, MD 21133-4056
(301) 326-9090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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