Primary Healthcare Services LLC

NPI #1215494844 in Fulton, Maryland

Provider Information

NPI Number
1215494844
Entity Type
Organization
Organization Name
Primary Healthcare Services LLC
Primary Specialty
Clinic/Center
Enumeration Date
Mar 1, 2019
Last Updated
Mar 1, 2019

Practice Location

Address
8115 MAPLE LAWN BLVD STE 350
City
Fulton
ZIP Code
20759-2683
Phone
(443) 986-2279

Authorized Official

Name
TASHANA JOHNSON, CRNP, APRN
Title
NURSE PRACTITIONER
Phone
(443) 986-2279

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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