| Helen Kumolalo | |
|
5205 East Dr Ste H Halethorpe MD 21227-2403 | |
| (410) 242-0423 | |
| (410) 242-0459 |
| Full Name | Helen Kumolalo |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5205 East Dr Ste H, Halethorpe, Maryland |
| Authorized Official Name and Position | Helen Kumolalo (CRNP) |
| Authorized Official Contact | 4436314318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Helen Kumolalo 5205 East Dr Ste H Halethorpe MD 21227-2403 Ph: () - | Helen Kumolalo 5205 East Dr Ste H Halethorpe MD 21227-2403 Ph: (410) 242-0423 |
| NPI Number | 1679188072 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 09/11/2020 |
| Certification Date | 09/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679188072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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