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Organization

PROACTIVE HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN SAINA STUBBS NP (NP)
(443) 902-6314
Entity
Organization

Contact information

Practice address
9712 BELAIR RD STE 301-301A, NOTTINGHAM, MD 21236-1103
(443) 902-6314
Mailing address
9712 BELAIR RD STE 301-301A, NOTTINGHAM, MD 21236-1103
(443) 902-6314

Taxonomy

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

Other

Enumeration date
08/05/2024
Last updated
08/05/2024
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