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Organization

PROBITY HEALTHCARE SERVICES & CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOMINIC EZE (DIRECTOR)
(301) 388-6091
Entity
Organization

Contact information

Practice address
6201 GREENBELT RD STE U15, BERWYN HEIGHTS, MD 20740-2347
(301) 254-6807
Mailing address
207 SAINT MICHAELS CIR, ODENTON, MD 21113-1073
(301) 254-6807

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
06/11/2018
Last updated
02/10/2020
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