Organization
QOL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY GAINES CRNP (OWNER/MANAGER)
(410) 474-9356
Entity
Organization
Contact information
Practice address
13325 DOWELL RD, SOLOMONS, MD 20688-1509
(410) 326-0077
(410) 326-6296
Mailing address
PO BOX 214, LUSBY, MD 20657-0214
(410) 474-9356
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
W11339405
MD
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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