Peniel Interventional Care

NPI #1871364646 in Joppa, Maryland

Provider Information

NPI Number
1871364646
Entity Type
Organization
Organization Name
Peniel Interventional Care
Primary Specialty
Family Medicine - Addiction Medicine
Enumeration Date
Jan 11, 2024
Last Updated
Jan 11, 2024

Practice Location

Address
318 SPRY ISLAND RD
City
Joppa
ZIP Code
21085-5424
Phone
(317) 797-9816

Authorized Official

Name
ELSIE ANTWIWAA TWENEBOAH-KODUAH, FNP-BC
Title
OWNER
Phone
(317) 797-9816

Specialties & Taxonomy Codes

Specialty
Family Medicine - Addiction MedicineAddiction Medicine

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