Prosperous, LLC

NPI #1003286287 in Bear, Maryland

Provider Information

NPI Number: 1003286287
Entity Type: Organization
Organization Name: Prosperous, LLC
Primary Specialty: Specialist
Enumeration Date: Oct 1, 2015
Last Updated: Oct 1, 2015

Practice Location

Address: 131 BECKS WOODS DRIVE
City: Bear
State: Maryland
ZIP Code: 19701
Phone: (267) 559-3001

Authorized Official

Name: MARIAM FOUZIA
Title: MANAGING MEMBER
Phone: (267) 559-3001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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