Organization · NPI-2

Winnie Deguzman Enterprise, LLC

Clinic/Center, Primary Care · Olney, MD

NPI number1457250417
StatusActive
Last updated in NPPESNov 4, 2026

Details

NPI
1457250417
Entity type
Organization (NPI-2)
Legal business name
Winnie Deguzman Enterprise, LLC
Organization subpart
No
Enumeration date
Nov 4, 2026
Certification date
Nov 4, 2026
Last updated
Nov 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes
261QM0850X Clinic/Center, Adult Mental Health––

Practice location

18532 Queen Elizabeth Dr
Olney, MD 20832-1349

Phone 240-308-1560

Mailing address

18532 Queen Elizabeth Dr
Olney, MD 20832-1349

Phone 240-308-1560

Authorized official

Winnie Kyaw Deguzman
President
2403081560

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