| One Stop Wellness | |
|
6340 Security Blvd Ste 100 Baltimore MD 21207-5284 | |
| (347) 455-1225 | |
| (410) 701-7292 |
| Full Name | One Stop Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 6340 Security Blvd Ste 100, Baltimore, Maryland |
| Authorized Official Name and Position | Latifat Raimi (PRESIDENT) |
| Authorized Official Contact | 3474551225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Stop Wellness 6340 Security Blvd Ste 100 Baltimore MD 21207-5284 Ph: (347) 455-1225 | One Stop Wellness 6340 Security Blvd Ste 100 Baltimore MD 21207-5284 Ph: (347) 455-1225 |
| NPI Number | 1114777513 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Medicare PECOS PAC ID | 1153762620 |
|---|---|
| Medicare Enrollment ID | O20240515001135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114777513 | NPI | - | NPPES |
| Provider Name | Latifat A Raimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841725066 PECOS PAC ID: 3072882521 Enrollment ID: I20170627001933 |
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