Organization
ADVANCED FUNCTIONAL HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS GBONE (MANAGER)
(240) 426-3133
Entity
Organization
Contact information
Practice address
9711 WASHINGTONIAN BLVD STE 550, GAITHERSBURG, MD 20878-5789
(301) 966-2558
Mailing address
3731 SPICEBUSH DR, FREDERICK, MD 21704-7879
(301) 966-2558
(301) 769-6650
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D0069829
MD
Other
Enumeration date
01/19/2012
Last updated
09/21/2021
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