# MYCARE MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346880440
- **Authorized official:** MS. ADAEZE AMINA NWOKEJI CRNP (PRESIDENT/CEO)
- **Authorized official phone:** (202) 341-7678

## Contact information

- **Practice address:** 7300 HANOVER DR STE 103, GREENBELT, MD 20770-2250
- **Practice address phone:** (202) 341-7678
- **Mailing address:** 1509 SOUTHERN SPRINGS LN, UPPER MARLBORO, MD 20774-6074
- **Mailing address phone:** (202) 341-7678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2020
- **Last updated:** 02/05/2020