Organization
PACIFIC HEALTH ,INC
Active
Other names
Pacific Health ,Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL SOBOWALE NURSE (DIRECTOR OF OPERATIONS)
(301) 346-3576
Entity
Organization
Contact information
Practice address
1130 BARNABY TER SE, WASHINGTON, DC 20032-4301
(301) 346-3576
Mailing address
9674 HALSTEAD AVE, LAUREL, MD 20723-1882
(301) 346-3576
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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