NPI 1174772750

A-Fragile Heart and Associates,llc

Organisation Preferred Provider Organization Bowie, MD

Practice location

Address: 15309 Johnstone Ln, Bowie, MD 20721-7275
Phone: (301) 218-8836
Fax: (301) 218-8836

Authorised official

Name: Sharon Lawanda Waters
Title: Owner
Phone: (202) 431-8455

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1174772750
Entity type: Organization
NPI issued: 18 Sep 2008
Record last updated: 23 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.