| Integrative Health Recreation & Musu Wellness Coaching | |
|
202 E Diamond Ave Gaithersburg MD 20877-3014 | |
| (240) 478-5843 | |
| Not Available |
| Full Name | Integrative Health Recreation & Musu Wellness Coaching |
|---|---|
| Speciality | Clinical Nurse Specialist |
| Location | 202 E Diamond Ave, Gaithersburg, Maryland |
| Authorized Official Name and Position | Mamie Musu F Wheeler (ADMINISTRATOR) |
| Authorized Official Contact | 2404785843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Health Recreation & Musu Wellness Coaching 202 E Diamond Ave Gaithersburg MD 20877-3014 Ph: (240) 478-5843 | Integrative Health Recreation & Musu Wellness Coaching 202 E Diamond Ave Gaithersburg MD 20877-3014 Ph: (240) 478-5843 |
| NPI Number | 1952013963 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 08/11/2023 |
| Certification Date | 08/11/2023 |
| Medicare PECOS PAC ID | 8426405325 |
|---|---|
| Medicare Enrollment ID | O20231115000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952013963 | NPI | - | NPPES |
| Provider Name | Mervin Griffin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487636726 PECOS PAC ID: 2961471388 Enrollment ID: I20191104000313 |
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