Organization
FRESH FRESH HEALTH CARE AGENCY LLC,
Active
Other names
Fresh Fresh Healthcare Cannabis
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA K RODNEY PHD DR PHYSIOLOGY (CEO)
(202) 823-9346
Entity
Organization
Contact information
Practice address
7604 VICAR PL, NEW CARROLLTON, MD 20784-2966
(202) 823-9346
Mailing address
7604 VICAR PL, NEW CARROLLTON, MD 20784-2966
(202) 823-9346
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20782660
OTHER LOCATIONS LICENSED
MD
Enumeration date
03/30/2022
Last updated
04/07/2022
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