| Wise Living LLC | |
|
408 Allegheny Ave Towson MD 21204-4252 | |
| (410) 567-0090 | |
| Not Available |
| Full Name | Wise Living LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 408 Allegheny Ave, Towson, Maryland |
| Authorized Official Name and Position | Regina Marie Fidazzo (SOLE MEMBER) |
| Authorized Official Contact | 4438018848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Living LLC 1401 La Belle Ave Towson MD 21204-6614 | Wise Living LLC 408 Allegheny Ave Towson MD 21204-4252 Ph: (410) 567-0090 |
| NPI Number | 1043833239 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 05/21/2020 |
| Certification Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043833239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
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