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Organization
SDM-1 STOP PRIMARY & URGENT CARE
Active
Organization
SDM-1 STOP PRIMARY & URGENT CARE
Active
Other names
LAURE B. NDEUTCHOUA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURE BERTILLE NDEUTCHOUA FNP-C (CEO)
(240) 383-8705
Entity
Organization
Contact information
Practice address
6325 KINSEY TER, LANHAM, MD 20706-2396
(240) 383-8705
Mailing address
6401 NEW HAMPSHIRE AVE, SUITE 100, HYATTSVILLE, MD 20783-3201
(240) 383-8705
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
RN1017163
DC
261QU0200X
Urgent Care Clinic/Center
Primary
RN1017163
MD
Other
Enumeration date
06/13/2016
Last updated
08/25/2016
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