SearchMaryland171100000X

Jared Urchek

NPI 1760888374 · on the registry since 2014 · sole proprietor

Practice

Address
1103 Kirklynn Ave
Takoma Park, MD 20912
Phone
(330) 606-6376
Organisation at this address
Vital Traditions, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-11-08

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