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Organization
FIDICLE HEALTH AND WELLNESS
Active
Organization
FIDICLE HEALTH AND WELLNESS
Active
Other names
FidiCle Business Group, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CLEMENTINE NJINKENG NP (OWNER)
(240) 644-2138
Entity
Organization
Contact information
Practice address
9110 MCHENRY LN, LANHAM, MD 20706-4158
(240) 644-2138
Mailing address
9110 MCHENRY LN, LANHAM, MD 20706-4158
(240) 644-2138
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R209831
LICENSE
MD
Enumeration date
10/23/2020
Last updated
03/10/2022
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