Organization
AU FAIT WELLNESS SERVICES LLC
Active
Organization
AU FAIT WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WALLICK (OWNER)
(202) 277-3004
Entity
Organization
Contact information
Practice address
7708 OLD ALEXANDRIA FERRY RD, CLINTON, MD 20735-1872
(717) 848-6998
Mailing address
PO BOX 1977, WALDORF, MD 20604-1977
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R207551
MD
Other
Enumeration date
05/16/2016
Last updated
08/09/2016
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