Organization
R L BLISSFUL MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TANCHO CRNP-PMH (OWNER)
(240) 899-9513
Entity
Organization
Contact information
Practice address
13715 OAKLANDS MANOR DR, LAUREL, MD 20708-1430
(240) 899-9513
Mailing address
13715 OAKLANDS MANOR DR, LAUREL, MD 20708-1430
(240) 899-9513
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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