Housecall Practitioner Services LLC
NPI #1104398247 in Capitol Heights, Maryland
Provider Information
- NPI Number
- 1104398247
- Entity Type
- Organization
- Organization Name
- Housecall Practitioner Services LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Dec 31, 2018
- Last Updated
- Dec 31, 2018
Practice Location
- Address
- 4310 VINE ST
- City
- Capitol Heights
- State
- Maryland
- ZIP Code
- 20743-5817
- Phone
- (240) 397-6694
Authorized Official
- Name
- BARBRA BONSU
- Title
- OWNER/HEALTHCARE PROVIDER
- Phone
- (240) 397-6694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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