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Contact Information

BMOREYOUTHFUL LLC
517 DUSK VIEW DR
HAVRE DE GRACE, MD21078-2369
 Phone: 443-902-1364
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207QA0401X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BMOREYOUTHFUL LLC · (Female)

NPI # 1588293138
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2020
Last updated 04/06/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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