Organization
INNATE HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYROSE OTUGO CRNP-PMHNP (OWNER)
(301) 256-5504
Entity
Organization
Contact information
Practice address
14301 WILSHIRE CT, LAUREL, MD 20707-9512
(301) 256-5504
Mailing address
14301 WILSHIRE CT, LAUREL, MD 20707-9512
(301) 256-5504
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
10/26/2023
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