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
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