Graduated: 2022
NPI: 1003697772
Practice Locations (2)
LIVING WELLNESS MEDICAL CENTER
220 W COLD SPRING LN
BALTIMORE, MD 212102802
4435246600
LIFESTREAM HEALTH CENTER
4000 MITCHELLVILLE RD, SUITE B322
BOWIE, MD 207163176
3018600305
Source: CMS National Downloadable File, September 2026.