TRACEY ELIZALDE FNP-BC PMHNP-BC LLC

FREDERICK, MD
NPI1720828320
Doing Business AsOPEN DOOR MENTAL HEALTH
Entity TypeOrganization
Authorized ContactTRACEY ELIZALDE
Owner
240-439-5928
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2024-05-30
Last Update Date2024-05-30
Business Address
TRACEY ELIZALDE FNP-BC PMHNP-BC LLC
812 TOLL HOUSE AVE
FREDERICK, MD 21701-4519
Phone number: 240-439-5928
Mailing Address
TRACEY ELIZALDE FNP-BC PMHNP-BC LLC
PO BOX 3072
FREDERICK, MD 21705-3072
Phone number: