Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Other names
Seneca Valley High School School Based Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOMMER MARTINE BARNES (EHR PRACTICE MANAGER)
(240) 777-1643
Entity
Organization
Contact information
Practice address
19401 CRYSTAL ROCK DR, GERMANTOWN, MD 20874-1593
(301) 353-8010
Mailing address
19401 CRYSTAL ROCK DR, GERMANTOWN, MD 20874-1593
(301) 353-8010
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
11/27/2023
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