Organization
ADVANCED DIALYSIS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINESSIA ZARITA PEARSON MSN (CHIEF FINANCIAL OFFICER)
(301) 943-7808
Entity
Organization
Contact information
Practice address
610 DUTCHMANS LANE, EASTON, MD 21601
(410) 820-9873
(410) 820-9875
Mailing address
9320 ANNAPOLIS RD, #200, LANHAM, MD 20706
(301) 577-1007
(301) 577-1006
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
E2642R
MD
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
09/26/2024
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