Organization
A CLEAN START LLC
Active
Parent organization
A CLEAN START LLC
Other names
A Clean Start Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
A CLEAN START LLC
Authorized official
ANIKKA STOKES (CO-OWNER)
(410) 205-7698
Entity
Organization
Contact information
Practice address
3 GREENWOOD PL STE 108, PIKESVILLE, MD 21208-2701
(410) 205-7698
Mailing address
3 GREENWOOD PL STE 108, PIKESVILLE, MD 21208-2701
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
12/01/2022
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