Organization
WANDEFUL WELLNESS WORKFORCE,LLC
Active
Other names
WANDEFUL WELLNESS WORKFORCE,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC WANDE CRNP-PMH (OWNER)
(757) 355-9706
Entity
Organization
Contact information
Practice address
7708 GASTON PL, GLEN BURNIE, MD 21060-8623
(757) 355-9706
Mailing address
7708 GASTON PL, GLEN BURNIE, MD 21060-8623
(757) 355-9706
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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