Innovative Mwlm LLC

NPI #1972351567 in Fort Washington, Maryland

Provider Information

NPI Number: 1972351567
Entity Type: Organization
Organization Name: Innovative Mwlm LLC
Primary Specialty: General Practice
Enumeration Date: May 8, 2024
Last Updated: May 8, 2024

Practice Location

Address: 11701 LIVINGSTON RD STE 202
City: Fort Washington
State: Maryland
ZIP Code: 20744-5136
Phone: (443) 512-8337

Authorized Official

Name: BRYAN MORROW
Title: CEO
Phone: (443) 512-8337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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