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Organization

TUERK HOUSE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KISUN PETERS-DIAZ (CBO)
(917) 861-2531
Entity
Organization

Contact information

Practice address
730 N ASHBURTON ST, BALTIMORE, MD 21216-4703
(667) 212-3631
Mailing address
2701 N CHARLES ST FL 2, BALTIMORE, MD 21218-4351
(667) 212-3631

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
12/10/2024
Last updated
12/10/2024
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