| Fundamentally Healthy | |
|
801 Marion Quimby Dr Stevensville MD 21666-2536 | |
| (410) 570-9400 | |
| Not Available |
| Full Name | Fundamentally Healthy |
|---|---|
| Speciality | Clinic/center |
| Location | 801 Marion Quimby Dr, Stevensville, Maryland |
| Authorized Official Name and Position | Jeaneen Mullenhard (OWNER) |
| Authorized Official Contact | 4105709400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fundamentally Healthy 801 Marion Quimby Dr Stevensville MD 21666-2536 Ph: (410) 570-9400 | Fundamentally Healthy 801 Marion Quimby Dr Stevensville MD 21666-2536 Ph: (410) 570-9400 |
| NPI Number | 1649543786 |
|---|---|
| Provider Enumeration Date | 02/21/2012 |
| Last Update Date | 02/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649543786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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