Organization
HIS FAITHFULNESS FAMILY CLINIC INC
Active
Other names
HIS FAITHFULNESS FAMILY CLINIC INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLIVIA MBAH NP (ADMINISTRATOR)
(301) 257-2314
Entity
Organization
Contact information
Practice address
6188 OXON HILL RD STE 301, OXON HILL, MD 20745-3157
(301) 485-8151
(301) 485-8191
Mailing address
6188 OXON HILL RD STE 301, OXON HILL, MD 20745-3157
(301) 485-8151
(301) 485-8191
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
06/29/2022
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