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Organization

NMS WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK ANTHONY YOST JR. ESQ. (GENERAL COUNSEL)
(301) 864-2333
Entity
Organization

Contact information

Practice address
4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
(301) 864-2333
Mailing address
4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
(301) 864-2333

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208100000X
Physical Medicine & Rehabilitation Physician
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235500000X
Speech/Language/Hearing Specialist/Technologist
363L00000X
Nurse Practitioner

Other

Enumeration date
10/17/2013
Last updated
10/17/2013
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