| Carla Dimiris Aprn Pa | |
|
102 E Cecil Ave Ste D North East MD 21901-4057 | |
| (443) 941-4859 | |
| Not Available |
| Full Name | Carla Dimiris Aprn Pa |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 102 E Cecil Ave Ste D, North East, Maryland |
| Authorized Official Name and Position | Carla Dimiris (PRESIDENT) |
| Authorized Official Contact | 4439414859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carla Dimiris Aprn Pa 9 Nathalie Dr Hockessin DE 19707-1147 Ph: (302) 302-2726 | Carla Dimiris Aprn Pa 102 E Cecil Ave Ste D North East MD 21901-4057 Ph: (443) 941-4859 |
| NPI Number | 1154896926 |
|---|---|
| Provider Enumeration Date | 10/09/2018 |
| Last Update Date | 10/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154896926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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