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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