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Jeaneen Mullenhard LLC

Clinic/Center in Stevensville, MD. Organization (NPI-2).

NPI number1649543786
StatusActive
Last updated in NPPESFeb 21, 2012

Details

NPI
1649543786
Entity type
Organization (NPI-2)
Legal business name
Jeaneen Mullenhard LLC
Organization subpart
No
Enumeration date
Feb 21, 2012
Last updated
Feb 21, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • Fundamentally Healthy (Doing Business As)

Practice location

801 Marion Quimby Dr
Stevensville, MD 21666-2536

Phone 410-570-9400

Mailing address

801 Marion Quimby Dr
Stevensville, MD 21666-2536

Phone 410-570-9400

Authorized official

Jeaneen Mullenhard
Owner
4105709400

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