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Organization

WELLNESS EGO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHUANNA TONI MONCRIEFFE MSCEM, NASM-CNC (OWNER/CONSULTANT)
(301) 974-1425
Entity
Organization

Contact information

Practice address
12820 RIVER RD STE HGH, POTOMAC, MD 20854-1139
(240) 762-1279
Mailing address
9812 FALLS RD STE 114-324, POTOMAC, MD 20854-3976
(240) 762-1279

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
251B00000X
Case Management Agency
Primary
261QC1800X
Corporate Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2407621279
PHONE NUMBER
01
WELLNESSEGO
NAME
Enumeration date
02/06/2023
Last updated
02/06/2023
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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