Organization
PROGRESSIVE MULTI MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY OKWUCHI UWANDU CRNP (OWNER)
(443) 931-5352
Entity
Organization
Contact information
Practice address
200 N PHILADELPHIA BLVD STE A, ABERDEEN, MD 21001-2568
(443) 530-3182
(443) 399-8223
Mailing address
200 N PHILADELPHIA BLVD STE A, ABERDEEN, MD 21001-2568
(443) 530-3182
(443) 399-8223
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
817005300
—
MD
Enumeration date
02/03/2021
Last updated
01/31/2023
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