Organization
UTOPIA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA ETTA NGASSA (OWNER)
(240) 640-5233
Entity
Organization
Contact information
Practice address
14503 MAIN ST RM A, UPPER MARLBORO, MD 20772-3010
(240) 375-0384
Mailing address
4015 WALES LN, UPPER MARLBORO, MD 20772-7997
(240) 375-0384
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
12/16/2024
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