Organization
INTEGRATIVE HEALTH RECREATION & MUSU WELLNESS COACHING
Active
Organization
INTEGRATIVE HEALTH RECREATION & MUSU WELLNESS COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAMIE MUSU F WHEELER (ADMINISTRATOR)
(240) 478-5843
Entity
Organization
Contact information
Practice address
202 E DIAMOND AVE, GAITHERSBURG, MD 20877-3014
(240) 478-5843
Mailing address
202 E DIAMOND AVE, GAITHERSBURG, MD 20877-3014
(240) 478-5843
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171400000X
Health & Wellness Coach
—
—
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
08/11/2023
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