NPI 1932712254

Covenant Cosmetic & Wellness Center

Organisation Health Maintenance Organization Hyattsville, MD

Practice location

Address: 3415 Hamilton Street Suite 5, Hyattsville, MD 20782
Phone: (301) 363-0709
Fax: (240) 714-4733
Mailing address: 3415 Hamilton St STE 5, Hyattsville, MD 20782-3953

Authorised official

Name: Folake Aloba
Title: Director
Phone: (301) 363-0709

Registered specialties (3)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Health Service Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QH0100X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1932712254
Entity type: Organization
NPI issued: 26 Aug 2020
Record last updated: 26 Aug 2020

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.