Organization
MARYLAND HEALTH AND WELLNESS SOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MODEST TAH NDANGOH (OWNER)
(240) 988-9624
Entity
Organization
Contact information
Practice address
6201 GREENBELT RD UNIT 18, BERWYN HEIGHTS, MD 20740-2354
(301) 307-2611
(301) 812-4190
Mailing address
6201 GREENBELT RD UNIT 18, BERWYN HEIGHTS, MD 20740-2354
(301) 307-2611
(301) 812-4190
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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