Organization
GOOD BOX BOUTIQUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON THOMAS (OWNER)
(347) 885-2190
Entity
Organization
Contact information
Practice address
326 N HOWARD ST, BALTIMORE, MD 21201-3610
(443) 750-4117
Mailing address
5521 GROVELAND AVE, BALTIMORE, MD 21215-4243
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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