Organization
ALL JOSHUA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAWANYA TENE JERRY (MEDICAL BILLER)
(443) 221-7447
Entity
Organization
Contact information
Practice address
2568A RIVA RD STE 202, ANNAPOLIS, MD 21401-7456
(443) 221-7447
(443) 729-0620
Mailing address
2568A RIVA RD STE 202, ANNAPOLIS, MD 21401-7456
(443) 221-7447
(443) 729-0620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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