Organization
BAXCARE CLINICAL CONSULTANTS
Active
Other names
DMV Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATASHA N BAXTER CRNP-A (OWNER/PRESIDENT)
(716) 310-5495
Entity
Organization
Contact information
Practice address
1811 SNOWDROP LN, SILVER SPRING, MD 20906-3361
(716) 310-5495
Mailing address
1811 SNOWDROP LN, SILVER SPRING, MD 20906-3361
(716) 310-5495
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
N/A
—
Enumeration date
08/08/2020
Last updated
08/08/2020
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