| NPI | 1821635236 |
|---|---|
| Doing Business As | MARICARE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | VERNICIA ANDRENNE EDMOND Nurse Practitioner 301-257-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |