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Organization

BMOREYOUTHFUL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN WEST CRNP (NURSE PRACTIONER)
(443) 902-1364
Entity
Organization

Contact information

Practice address
517 DUSK VIEW DR, HAVRE DE GRACE, MD 21078-2369
(443) 902-1364
Mailing address
517 DUSK VIEW DR, HAVRE DE GRACE, MD 21078-2369
(443) 902-1364

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
11/25/2020
Last updated
11/25/2020
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