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Organization

CONFIDENT CARE MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY ROCKEFELLER (FNP)
(404) 287-7589
Entity
Organization

Contact information

Practice address
1331 H ST NW STE 200, WASHINGTON, DC 20005-4706
(404) 287-7589
Mailing address
1621 LYMAN PL NE, WASHINGTON, DC 20002-3007
(404) 287-7589

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013655992
DC
Enumeration date
04/02/2019
Last updated
07/03/2019
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