Individual
ELVIS AGREY MUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2129 RUBY TURN, BOWIE, MD 20721-1896
(910) 977-6067
Mailing address
2129 RUBY TURN, BOWIE, MD 20721-1896
(910) 977-6067
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/08/2025
Last updated
03/10/2025
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