Organization
MANCHESTER MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESS LEE CRNP (NURSE PRACTITIONER/OWNER)
(240) 338-3290
Entity
Organization
Contact information
Practice address
804 PERSHING DR STE 110, SILVER SPRING, MD 20910-4439
(240) 338-3290
Mailing address
20355 CENTURY BLVD # M, GERMANTOWN, MD 20874-1110
(240) 338-3290
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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