Organization
PITSTOP HEALTHCARE LLC
Active
Other names
Health Travel, Immunizations and Physicals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATONYA CARROLL DNP, APRN (OWNER/ CEO)
(410) 870-4847
Entity
Organization
Contact information
Practice address
3702 PERRY AVE, KENSINGTON, MD 20895-2118
(410) 870-4847
(410) 510-1627
Mailing address
3702 PERRY AVE, KENSINGTON, MD 20895-2118
(410) 870-4847
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/03/2018
Last updated
12/25/2019
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