| New Market Hanai Ohana, Llc. | |
|
30 S Court St Frederick MD 21701-5510 | |
| (240) 575-1206 | |
| Not Available |
| Full Name | New Market Hanai Ohana, Llc. |
|---|---|
| Speciality | Counselor |
| Location | 30 S Court St, Frederick, Maryland |
| Authorized Official Name and Position | Teresa M Russell (OWNER, KOKUA, COUNSELOR) |
| Authorized Official Contact | 7023369232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Market Hanai Ohana, Llc. 30 S Court St Frederick MD 21701-5510 Ph: (240) 575-1206 | New Market Hanai Ohana, Llc. 30 S Court St Frederick MD 21701-5510 Ph: (240) 575-1206 |
| NPI Number | 1568900504 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 02/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568900504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LC5788 (Maryland) | Primary |
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