Organization
ETHOS HEALTH MARYLAND 4, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN RAY WALKER DC (OWNER)
(352) 732-5590
Entity
Organization
Contact information
Practice address
1411 MADISON PARK DR, GLEN BURNIE, MD 21061-6185
(352) 732-5590
(352) 732-0292
Mailing address
1541 SE 17TH ST, OCALA, FL 34471-4607
(352) 732-5590
(352) 732-0292
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
10/13/2021
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