| Protelix Health Clinic | |
|
22 W Padonia Rd Ste C133 Lutherville Timonium MD 21093-2238 | |
| (410) 575-4494 | |
| Not Available |
| Full Name | Protelix Health Clinic |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 22 W Padonia Rd Ste C133, Lutherville Timonium, Maryland |
| Authorized Official Name and Position | Thelma E Paine (OWNER/CEO) |
| Authorized Official Contact | 4105754494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Protelix Health Clinic 22 W Padonia Rd Ste C133 Lutherville Timonium MD 21093-2238 Ph: (410) 575-4494 | Protelix Health Clinic 22 W Padonia Rd Ste C133 Lutherville Timonium MD 21093-2238 Ph: (410) 575-4494 |
| NPI Number | 1093498453 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 08/10/2023 |
| Certification Date | 08/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093498453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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