| Fmw Medspa Inc. | |
|
524 E Belvedere Ave Baltimore MD 21212-3701 | |
| (443) 928-7707 | |
| (410) 538-5510 |
| Full Name | Fmw Medspa Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 524 E Belvedere Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Linette I Eke (PMHNP) |
| Authorized Official Contact | 4438409478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmw Medspa Inc. 524 E Belvedere Ave Baltimore MD 21212-3701 Ph: (443) 928-7707 | Fmw Medspa Inc. 524 E Belvedere Ave Baltimore MD 21212-3701 Ph: (443) 928-7707 |
| NPI Number | 1538747068 |
|---|---|
| Provider Enumeration Date | 03/29/2021 |
| Last Update Date | 10/29/2023 |
| Certification Date | 10/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538747068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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