Organization
MODERN MEDICINE EXPRESS CARE
Active
Parent organization
MODERN ESTHETICS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MODERN ESTHETICS, LLC
Authorized official
HARRIETT NEVERDON FNP-C (NURSE PRACTITIONER)
(443) 416-5868
Entity
Organization
Contact information
Practice address
1041 CAMPBELL MEADOW RD, OWINGS MILLS, MD 21117
Mailing address
1041 CAMPBELL MEADOW RD, OWINGS MILLS, MD 21117-5039
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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