NPI | 1780278614 |
---|---|
Doing Business As | CMAG MEDICAL SERVICES |
Entity Type | Organization |
Authorized Contact | ANGELA IVY GUSTUS Co Owner/CEO 410-517-2624 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 163W00000X Registered Nurse |
163WW0000X Registered Nurse, Wound Care | |
207R00000X Internal Medicine | |
Enumeration Date | 2021-02-22 |
Last Update Date | 2021-02-22 |