Organization
HEALTHWAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLISTINE JAH (RN/LCC)
(240) 299-7232
Entity
Organization
Contact information
Practice address
14215 DEVINGER PL, ACCOKEEK, MD 20607-3717
(240) 299-7232
Mailing address
14215 DEVINGER PL, ACCOKEEK, MD 20607-3717
(240) 299-7232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R099957
MD
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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