Organization
OUR FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY DIRICKSON-FORD (OWNER)
(443) 542-8812
Entity
Organization
Contact information
Practice address
1576 MERRITT BLVD, SUITE 15, DUNDALK, MD 21222-2114
(443) 530-6165
Mailing address
1576 MERRITT BLVD, SUITE 15, DUNDALK, MD 21222-2114
(443) 530-6165
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
02/08/2023
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