Organization · Type 2 NPI
Wyota Dialysis, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fort Washington, MD
NPI number
1306323050
Active
Practice location
11700 Livingston Rd
Fort Washington, MD 20744-5150
Fax (301) 292-9828
Mailing address
5200 Virginia Way, Att: L&c Department
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1306323050
Wyota Dialysis, LLC's National Provider Identifier is 1306323050, issued on Jul 25, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fort Washington, MD. The record was last updated on Sep 12, 2024.