Organization
JJDLIGHTCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIDONIE HEUMEN (NURSE PRACTITIONER)
(202) 286-8616
Entity
Organization
Contact information
Practice address
7148 NATURES RD, COLUMBIA, MD 21046-1606
(202) 286-8616
Mailing address
7148 NATURES RD, COLUMBIA, MD 21046-1606
(202) 286-8616
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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