Organization
MOUTAIN, VALLEY AND SHORE MOBILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLIA MELVINIA MCPHERSON DIPL, RN, BSN, MA (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
RN58013
MD
Other
Enumeration date
07/15/2007
Last updated
10/04/2007
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