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Organization

IMMUNITY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONAA WALTON CRNP-PMH (AUTHORIZED OFFICIAL)
(443) 936-9138
Entity
Organization

Contact information

Practice address
750 MAIN ST FL 2, REISTERSTOWN, MD 21136-2515
(410) 297-1601
(443) 285-0787
Mailing address
750 MAIN ST FL 2, REISTERSTOWN, MD 21136-2515
(410) 297-1601
(443) 285-0787

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/14/2024
Last updated
10/09/2025
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