| Ianua Health, Llc | |
|
14 Rogers Rd Ste 211 North East MD 21901-3612 | |
| (410) 280-7683 | |
| (610) 702-8056 |
| Full Name | Ianua Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14 Rogers Rd Ste 211, North East, Maryland |
| Authorized Official Name and Position | Antonio Pedulla (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 6109983902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ianua Health, Llc 14 Rogers Rd Ste 211 North East MD 21901-3612 Ph: (410) 280-7683 | Ianua Health, Llc 14 Rogers Rd Ste 211 North East MD 21901-3612 Ph: (410) 280-7683 |
| NPI Number | 1093559304 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093559304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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