Organization
BAZAAA HOLISTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PALVINE ANCHENMIH ALEM CRNP (PMHNP)
(240) 481-8451
Entity
Organization
Contact information
Practice address
11507 GLOXINIA CT, UPPER MARLBORO, MD 20774-9218
(240) 584-5640
Mailing address
11507 GLOXINIA CT, UPPER MARLBORO, MD 20774-9218
(240) 481-8451
(240) 481-8451
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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