Organization
MOUNTAIN, VALLEY AND SHORE MOBILE IMMUNIZATION SERVICES, LLC
Active
Other names
MVAS-MIS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLIA MELVINA MCPHERSON RN (OWNER/CEO)
(301) 490-8236
Entity
Organization
Contact information
Practice address
11600 BASSWOOD DR, LAUREL, MD 20708-3170
(301) 490-8236
(124) 055-4258
Mailing address
11600 BASSWOOD DR, LAUREL, MD 20708-3170
(301) 490-8236
(124) 055-4258
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
RN1008461
DC
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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