Organization
KACC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARISSA HARDING (REGISTERED NURSE)
(301) 677-8949
Entity
Organization
Contact information
Practice address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755-5800
(301) 677-8949
Mailing address
2480 LLEWELLYNE AVENUE, FORT MEADE, MD 20755
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MD
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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