| Kwanza Clinic Llc | |
|
303 Cherrystone Ct Reisterstown MD 21136-6211 | |
| (757) 667-9549 | |
| (410) 834-5631 |
| Full Name | Kwanza Clinic Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 303 Cherrystone Ct, Reisterstown, Maryland |
| Authorized Official Name and Position | Edwin Juma (CRNP) |
| Authorized Official Contact | 7576679549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kwanza Clinic Llc 303 Cherrystone Ct Reisterstown MD 21136-6211 Ph: (757) 667-9549 | Kwanza Clinic Llc 303 Cherrystone Ct Reisterstown MD 21136-6211 Ph: (757) 667-9549 |
| NPI Number | 1396539987 |
|---|---|
| Provider Enumeration Date | 04/08/2025 |
| Last Update Date | 04/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396539987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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