Organization
HOLISTIC HEALTH & WELLNESS MEDICAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE SHAWANDA EDWARDS OWNER (OWNER)
(301) 772-1500
Entity
Organization
Contact information
Practice address
1450 MERCANTILE LN, 221, LARGO, MD 20774-5376
(301) 772-1500
(301) 773-0050
Mailing address
1450 MERCANTILE LN, 221, LARGO, MD 20774-5376
(301) 772-1500
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
—
225700000X
Massage Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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