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Organization

FIVE-STAR INTEGRATED HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMIA ROLLINS-MUSGRAVE (OWNER)
(667) 720-0614
Entity
Organization

Contact information

Practice address
1125 WEST ST STE 235, ANNAPOLIS, MD 21401-4198
(667) 204-0614
Mailing address
1125 WEST ST STE 235, ANNAPOLIS, MD 21401-4198

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
251S00000X
Community/Behavioral Health Agency
291U00000X
Clinical Medical Laboratory
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
08/05/2020
Last updated
09/28/2020
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