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Organization

MAHANAIM WELLNESS CENTER & IV HYDRATION LOUNGE

Active
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Organization

MAHANAIM WELLNESS CENTER & IV HYDRATION LOUNGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASSETH TAYLOR-PALMER CRNP-BC (CEO)
(609) 906-8167
Entity
Organization

Contact information

Practice address
5020 SUNNYSIDE AVE, BELTSVILLE, MD 20705-2307
(301) 304-1751
Mailing address
5020 SUNNYSIDE AVE, BELTSVILLE, MD 20705-2307
(301) 304-1751

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
01/03/2024
Last updated
04/22/2024
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