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Organization

MY MOBILE PRIMARY HEALTH CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY SATIAGO (MANAGER)
(256) 508-9034
Entity
Organization

Contact information

Practice address
4201 NORTHVIEW DR STE 410, BOWIE, MD 20716-2668
(202) 681-9661
Mailing address
9215 TRADERS XING APT F, LAUREL, MD 20723-1630
(240) 565-8316

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
R187947
MD

Other

Enumeration date
05/31/2016
Last updated
05/31/2016
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