Organization
COVENANT COSMETIC & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOLAKE ALOBA CRNP-PMH (DIRECTOR)
(301) 363-0709
Entity
Organization
Contact information
Practice address
3415 HAMILTON STREET, SUITE 5, HYATTSVILLE, MD 20782
(301) 363-0709
(240) 714-4733
Mailing address
3415 HAMILTON ST STE 5, HYATTSVILLE, MD 20782-3953
(301) 363-0709
(240) 714-4733
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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