| Renu 2 | |
|
8010 Blair Mill Way Apt 207e Silver Spring MD 20910-6805 | |
| (202) 494-6119 | |
| Not Available |
| Full Name | Renu 2 |
|---|---|
| Speciality | Clinic/center |
| Location | 8010 Blair Mill Way Apt 207e, Silver Spring, Maryland |
| Authorized Official Name and Position | Esonija Shavon Fulgham (OWNER) |
| Authorized Official Contact | 2024946119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renu 2 8010 Blair Mill Way Apt 207e Silver Spring MD 20910-6805 Ph: () - | Renu 2 8010 Blair Mill Way Apt 207e Silver Spring MD 20910-6805 Ph: (202) 494-6119 |
| NPI Number | 1073261889 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 07/14/2023 |
| Certification Date | 07/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073261889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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