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1770309155
BLUEWAVES MENTAL HEALTH SERVICES LLC
BOWIE, MD
NPI
1770309155
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Entity Type
Organization
Authorized Contact
OLUFUNKE CARTER
Owner
301-732-9954
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-12-02
Last Update Date
2024-12-18
Business Address
BLUEWAVES MENTAL HEALTH SERVICES LLC
9717 TRAVER ST
BOWIE, MD 20721-1867
Phone number: 301-732-9954
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Mailing Address
BLUEWAVES MENTAL HEALTH SERVICES LLC
9717 TRAVER ST
BOWIE, MD 20721-1867
Phone number: 301-732-9954
Copy
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