Organization
EVERGREEN HEALTHCARE CLINIC LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE LEDJO (OWNER)
(240) 644-5570
Entity
Organization
Contact information
Practice address
300 N CHARLES ST STE D, BALTIMORE, MD 21201-4305
(240) 644-5570
Mailing address
13707 CROWNSGATE WAY, GERMANTOWN, MD 20874-4424
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
07/07/2026
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