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Organization
PRINCE GEORGE'S COUNTY HEALTH
Active
Organization
PRINCE GEORGE'S COUNTY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMALA VICKS (CREDENTIALING SPECIALIST)
(301) 883-7822
Entity
Organization
Contact information
Practice address
8030 MATTHEWS RD UNIT 105-107, BRYANS ROAD, MD 20616-4265
(301) 883-7879
Mailing address
9187 CENTRAL AVE, CAPITOL HEIGHTS, MD 20743-3806
(301) 883-7879
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
NULL
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
06/02/2026
Last updated
06/03/2026
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