Organization
ABUNDANT LIFE MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUN RILEY (CEO)
(410) 814-7571
Entity
Organization
Contact information
Practice address
300 E LOMBARD ST STE 840, BALTIMORE, MD 21202-3231
(410) 814-7571
Mailing address
300 E LOMBARD ST STE 840, BALTIMORE, MD 21202-3231
(410) 814-7571
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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