SearchMaryland104100000X

Festina Manly-Spain

NPI 1477131548 · on the registry since 2021 · sole proprietor

Practice

Address
20410 Observation Dr Ste 108
Germantown, MD 20876
Phone
(240) 296-5646
Organisation at this address
Ne2 Llc
Ne2 Llc
Vesta, Inc.
Vesta, Inc.
Vesta, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
99

Additional practice sites

  • 11843 Regents Park Dr, Germantown, MD

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland